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Reserve to Share Dance Hosts at USA Dance Royal Palm Chapter Dance!

Only $10.00   + Admission

Royal Palm Chapter, USA Dance All items marked with red asterisk* must be completed, or Form will not submit.

Your Full Name:*

Your E-mail: *

Your Telephone #:*

Your City and State:*

Date & Venue of Dance for which you are Reserving to share Dance Hosts:*

Confirm (required) that you are a current Member of USA Dance:*
 I am a Current Member of USA Dance

If you need to Renew your USA Dance Membership, log in at: Click Renew, top of your Profile.   Or, simply go to:
To Join USA Dance as a new Member, go to, and Click “Join Now” (upper right). Choose Royal Palm Chapter #6016, as your Chapter!   Adult Social Dancer Membership is only $35 per year, and entitles you to discounts & many Benefits.

Any questions or Comments: (Optional)

Please click "Send" to submit this form.
Then click "Pay Now"
to pay the $10.00 Shared Dance Host Fee by PayPal or Credit Card.
Your Reservation is not Complete until you pay the $10.00 Fee (nonrefundable).

We Look forward to seeing you at the Dance!!

Enter Your Name + Date of Dance:

At the PayPal Screen, you can either:
» Log in to pay with your PayPal Account; or
» Scroll down and click the Gray Bar to
  “Pay with Debit or Credit Card”

The $10.00 Dance Host Fee is in addition to your Admission to the Dance, which is payable at the Door.

USA Dance Royal Palm Chapter # 6016 Logo



Count Down to Next Competition -- American DanceSport Festival - October 8-10, 2021!!


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