Heart of America Championships
On-line purchase forms for dance entries and other items

There are two areas below. The upper right area with the blue background allows you to sign in only if you have previously signed in on this web site and provided your name and other information. If you have not previously signed in on this web site you must read the instructions in the upper left area with the white background then scroll down and complete the information in the bottom part of this page.

 If you have not previously signed in on this web site complete the form below:

  Please read these instructions first:

(1) Required fields are designated by an asterisk (*).
(2) If you are an independent person or couple enter the name for your mailing address (e.g. Mr. and Mrs. John Doe) in the studio name slot and check the 'Independent' box.
(3) If you are one of several independent teachers operating from the same studio, want to be invoiced separately from the studio, but want only the studio name listed in the competition program, then enter the studio name followed by your name enclosed in angle brackets (e.g. My Studio <My name>) in the studio name slot but do not check the 'Independent' box.
(4) Enter the country only if you want the country rather than your studio name/location listed to the right of your dance entries in the program (don't enter USA).
(5) The contact person should be the studio manager or the person submitting this registration form.
(6) Your email address and password are used to identify you when and if you return to this site, so you are required to enter them twice to confirm that they are correct. You can not change them later.
(7) If you enter credit card information, please do so carefully as you can not change it later.

If you have previously signed in on this web site, just enter your email address and password to sign in.

 Email
 Password   

If you forget your password do not re-register in the box below because it will cause all of your previously entered information to be overwritten and lost. Instead, email the organizer and request that your password be emailed to you.  
Forgot password, click here

 Studio name*       Independent

 Phone*  Fax   

 Address
 Address

 City   State Zip Country  

 Contact person last name*  First name

The following information can not be changed after it is submitted, so enter it carefully!
Email* 
Confirm email* 

Enter desired password*
Confirm password* Please make a note of your password!