The following form should be completed by all directors attending Nationals. Please complete by February 12, 2012. You should complete the online faxable form and submit to the hotel before submitting this online form. This form does not reserve a room.

To:	MADance.com
Your First and Last Name:
Your Return Email Address:*	required
Team Name:
Number of Team Members:
Number of Team Directors:
Number of Parents/Chaperones/Spectators associated with the team:
Please Provide the following Hotel Information:
Hotel Name:
Hotel Address:
# of Rooms Team Using
# of Rooms Family/Fans Using
How did you book your rooms?	Website Calling Hotel Directly Travel Agent
Any comments: While MA Dance and Marching Auxiliaries receives no financial compensation from the Fort Worth hotels, we must be able to demonstrate to the Fort Worth Convention Bureau that the MA National Championship is a viable use of convention space in order to be able to negotiate for the use of the Convention Center facilities, including the performance Arena. Any hotel rooms used by any member of your group should be included in the total room count – If you have any questions, please contact our office!	Enter Security Code: