New Member Sign Up Form

* Membership Type

First Time Competitor - Adult $5.00 for the first year. Multi Event - Worlds Qualifying Membership. (Valid for first time competitors of the UCWDC)
First Time Competitor - Junior (Under 18 yo) $5.00 for the first year. Multi Event - Worlds Qualifying Membership. (Valid for first time competitors of the UCWDC)
Local Event Membership Adult $4.00 for 10 days Purchase with caution! NON worlds qualifying Membership.This membership will not allow the event to count towards worlds qualification. Valid for one event only.
Local Event Membership Junior (Under 18 yo) $4.00 for 10 days Purchase with Caution! NON worlds qualifying Membership.This membership will not allow the event to count towards worlds qualification. Valid for one event only.
Team Membership $35.00 for 1 year. Multi Event - Worlds Qualifying Membership
Team Membership 2 years $65.00 for 2 years. Multi Event - Worlds Qualifying Membership for 2 years

* Payment System

Authorize.Net AIM Credit Card Billing accepts all major credit cards
PayPal PayPal

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Confirm Your E-Mail Address

* Choose a Username

it must be 4 or more characters in length
may only contain letters, numbers, and underscores

* Choose a Password

must be 4 or more characters

* Confirm Your Password

* Citizenship Represented

Indicate the Citizenship you are representing

* Gender

Gender

Female
Male

* Residence Area

To be eligible to compete at the Country Dance World Championships, you need to fulfil some requirements on the number of events you are participating to as well as the number of Overall. Those requirements vary depending on your division and on your geographical residence. The "Residence Area" is the geographical area where you are living for more than 6 months of the year.

* Region

Where do you live?
Africa, Antarctica & South America = Region 0; Australia, Asia and Japan = Region 1, Europe = Region 2; North America = Region 3

* Continent

Continent on which your home is located

* Birth Month

Birth Month

* Birth Day

Birth Day (Date)

* Birth Year

Birth Year