Registration
Mark your calendars for Indy Dance Academy's annual Sweetheart Ball on Saturday, February 15th from 4:30-6:00p.m.! Bring your dashing prince (dad, grandpa, friend) to Indy Dance Academy for an enchanting night of dancing, games, and light refreshments. Attendees must be at least 3 years of age. $5.00 per couple, $1 per additional guest.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Questions/Options:
Ticket Buyer First Name:*
Ticket Buyer Last Name:*
Ticket Buyer Email:*
Ticket Buyer Phone:*
Couples Name: (include child's age)*
Additional Guest Name. Please list all names and ages of additional guest if more than 1.
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*