Wristband Request Form - LaVolta's Dance Events

Wristband Request Form

Full Name *

First

Last

Franchise Area *

Contact Number *

Competition Date *

Additional Date (if required) *

Additional Date (if required) *

Address for Postage Purposes *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

This is where your order will be dispatched to.

Is this a Dance Festival, Troupe Day or Both? *

Wristbands can only be ordered in bulks of 100, if less is ordered then this will be round up.

I acknowledge that wristbands can only be ordered in quantities of 100. *

Yes

Day One: Adult - FULL DAY

Selected Value: 0

Please state how many wristbands you require.

Day Two: Adult - FULL DAY

Selected Value: 0

Please state how many wristbands you require.

Day One: Adult - AM HALF DAY

Selected Value: 0

Please state how many wristbands you require.

Day Two: Adult - AM HALF DAY

Selected Value: 0

Please state how many wristbands you require.

Day One: - Adult PM HALF DAY

Selected Value: 0

Please state how many wristbands you require.

Day Two: - Adult PM HALF DAY

Selected Value: 0

Please state how many wristbands you require.

Day One: - Child ALL DAY

Selected Value: 0

Please state how many wristbands you require.

Day Two: - Child ALL DAY

Selected Value: 0

Please state how many wristbands you require.

Weekend Pass

Selected Value: 0

Please state how many wristbands you require.

I acknowledge that if Day Three is required, duplicates of Day One will be ordered. *

Yes

I accept that wristbands need to be ordered a minimum of 4 weeks before the event date. *

Yes

Any additional information we may require?