Registration Form – Queensland State Square Dance Convention

Participant 1

First Name

Last Name

Address

Suburb

Postcode

Phone

Email

Participant 2

First Name

Last Name

Phone

Email

Participant 3

First Name

Last Name

Phone

Email

Participant 4

First Name

Last Name

Phone

Email

Participant 5

First Name

Last Name

Phone

Email

Booth Allocation

Booth

Free for Registered Users

Dressed Set and Banner

Dressed Set

Club Name

Caller/Cuer Registration due by 31st May 2027

Name

Level Calling

Availability

Available to MC for Whole Program

Available to CALL for Whole Program

Available to MC Friday Night

Available to CALL Friday Night

Available to MC Saturday Afternoon

Available to CALL Saturday Afternoon

Available to MC Saturday Night

Available to CALL Saturday Night

Available to MC Sunday Afternoon

Available to CALL Sunday Afternoon

Qty

43rd Queensland Square Dance Convention

27^th – 29^th August 2027 in Bundaberg, QLD

In 2027 Mark the dates, Square Dance in Bundy with your Mates

Participant 1

Participant 2

Participant 3

Participant 4

Participant 5

Booth Allocation

Dressed Set and Banner

Caller/Cuer Registration due by 31st May 2027

Level Calling

Availability

Participant 1

Participant 2

Participant 3

Participant 4

Participant 5

Booth Allocation

Dressed Set and Banner

Caller/Cuer Registration due by 31st May 2027

Level Calling

Availability

Please Confirm

Condition of Entry

Public Filming & Photography

By attending, you acknowledge and accept this.