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Fireworks on the Floor 2005

Housing Registration Form for Locals

This form is for locals who are willing to house out-of-town dancers. Please fill out one form per household.

First Name:
Last Name:
Email:
Phone:
City (current residence):
Number of guests
you are able to house:
Accomodation Type: Extra Bedroom Sofa Bed Floor space Other
Gender Preference: Male Female Either
Household Pets: Dog Cat Other
Are you willing
to house smokers?
Yes No