CHI-TOWN SQUARES

Crossfire 2025

Registration and PayPal Payment

First Name

Last Name

Address (Street number, name, and unit #)

City

State

Zip Code

Phone

(###)

###

####

CLUB AFFILIATION AND DANCE LEVEL

Club Affiliation

Your Highest Dance Level

Are You Interested in Calling a Tip?

Highest Level You Can Call

EMERGENCY CONTACT INFORMATION

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

HOUSING

Need Housing?

Housing Dates

I am a Chi-Town Member who can provide housing

Number of guests you can accomodate and special information