* * * each person must complete a separate registration form * * *
DDM Productions - Doug & Jackie Miranda
accept only Visa & Master Card credit cards
Please note that on your credit card statement the amount will show that it was charged to
"DDM Productions/Jacaranda Fashions". That is how our credit card machine is setup.
Please do not hesitate to contact us with any questions. A copy of your payment receipt
will be enclosed in your registration packet.

PLEASE READ AND FOLLOW THESE INSTRUCTIONS!!
EACH PERSON MUST COMPLETE A REGISTRATION FORM

You must do 2 things in order to register and pay for this event:
You have to REGISTER AND You have to PURCHASE!
1) REGISTER FOR THE EVENT
Fill out the registration form on this page and click on the "Register for Event" button at the BOTTOM of this page. This will send you to our Thank You page. On that page you can verify what you sent, then click on the link that says "Make Your Purchase". That will bring you to the Vegas Dance Explosion Credit Card Purchase Page to make your purchase.
2) MAKE YOUR PURCHASE FOR THE EVENT
Go to the Vegas Dance Explosion Credit Card Purchase Page. Use the 'Buy Now' buttons to make your purchase using our secure shopping cart. Just click on the button next to the item(s) you wish to pay for. You will be taken to our shopping cart. If you wish to return here to this page before you make your final purchase, just click on 'Continue Shopping' which is at the bottom of the shopping cart.
Note: If you don't want to use our shopping cart, after you complete the registration form
you can call us on the telephone (951) 756-4451 and give us your credit card information.
Note: Completing the registration form is REQUIRED. It does not charge your credit card.
If you notice there is no place in the form asking for your credit card information. You have to
agree to the disclaimer which is in the form in order to register for the event.
DID YOU READ THE INSTRUCTIONS?
IF NOT, PLEASE GO BACK AND DO SO!

E-mail: (required)
Event:
Venue:
Name: (required)
Street Address:
Additional Address:
City:
State/Prov:
Zip/Postal:
Country:
Phone:
Verify E-mail:
Space for this event is limited! Once attendance limit has been
reached all other registrations will be returned with full refunds.

 Please Check The Days You Are Attending The Vegas Dance Explosion 
Wednesday Thursday Friday Saturday Sunday
Do not skip this part! We need to know how many people to expect each day!

 

Vegas Dance Explosion Event Available Passes
(All Registration Fees will increase by $15.00 after 10/1/12 pending space availability)
 VIP Pass $135.00 (BEST DEAL)
Includes all workshops taking place on November 14th thru 18th. All Evening Dances,
Event T-shirt, Preferred Show seating (advance seating to all evening shows and demos),
Step Description Paper Booklet OR Step Description Data CD

♦ Please choose Step Description preference:  Paper Booklet   CD
(please select your event t-shirt type and size from the choices below)
Please note that the 2XL Shirts are $2 more, & the 3XL Shirts are $3 more.
Men's T-Shirt XS Small Medium Large XL 2XL 3XL

Ladies' T-Shirt XS Small Medium Large XL 2XL 3XL
VIP 2XL shirts are $2.00   ~   VIP 3XL Shirts are $3.00

 Gold Pass $105.00
Includes all workshops 11/14-11/18. All Evening Dances, Step Description CD
 Wednesday Workshop Pass $60.00
(Includes Wednesday Evening Dance)
 Thursday Workshop Pass $60.00
(Includes Thursday Evening Dance)
 Friday Workshop Pass $60.00
(Includes Friday Evening Dance)
 Saturday Workshop Pass $60.00
(Includes Saturday Evening Dance)
 Sunday Workshop Pass $60.00
(Includes Sunday Evening Dance)
 Evening Dances Only $15.00 per night
Admission Price: $15.00 per person for each Evening Dance
Please indicate which evening dances you will be attending:

Wednesday Night $15.00  Thursday Night $15.00  Friday Night $15.00
Saturday Night $15.00  Sunday Night $15.00
 Spectator Pass $20.00 per day
$20.00 per day per person (does not include Evening Dance)
No Video Cameras are allowed to be used by Spectators.
Please check each box next to the workshops you will be attending:

Wednesday Workshop $20.00  Thursday Workshop $20.00  Friday Workshop $20.00
Saturday Workshop $20.00  Sunday Workshop $20.00

Vegas Dance Explosion Choreography Contest
Will you be entering in the Choreography Contest? Yes   No
There will be judging for 3 different Divisions:
DIVISION 1: Beginner - Country and Non-Country
DIVISION 2: Non-Phrased - Country and Non-Country Intermediate-Advanced
DIVISION 3: Phrased - Country and Non-Country Intermediate-Advanced
Please check each Division that you are submitting a dance for:
Division 1 Division 2 Division 3
There is an Entry Fee of $25.00 per dance for each division
Only ONE dance per choreographer may be entered in EACH division.
(includes dances choreographed by multiple choreographers)

Paper Step Description Book
You may purchase a Paper Step Description Book for $18.00
If you want one you must order one before November 1st, 2012
(Step Description CD already included with VIP & Gold Passes)
Would you like to purchase a Paper Step Description Book? Yes   No
If you chose Yes and you want a Paper Step Description Book, make
sure to include it when you make your purchase in the Shopping Cart

Vegas Dance Explosion T-Shirt $18.00
(Event T-Shirts will also be $20.00 after 10/1/12 & during the event)
(please select your event t-shirt type and size from the choices below)
Please note that the 2XL Shirts are $2 more, & the 3XL Shirts are $3 more.
Men's T-Shirt XS Small Medium Large XL 2XL 3XL

Ladies' T-Shirt XS Small Medium Large XL 2XL 3XL

Paying for Guests
(Each person MUST fill out a separate registration form)
* * VERY IMPORTANT: You may pay for more than one person, or someone may pay for you. However each person attending must fill out a separate registration form. If you answered 'YES' to one of the 2 questions below, please enter the names in the box below so that Doug & Jackie know who belongs together.
* If you are not paying for anyone and nobody is paying for you, then SKIP this section and go right to the Disclaimer Section!
Are you paying for more than one person?   Yes   No
Is someone paying for you?   Yes   No
Please list your full names and what event passes were purchased:
NOTE: We need to know who is with who so please be specific!!!

* * VERY IMPORTANT: You must read & agree to this Disclaimer in order to register
I agree to hold organizers of The Vegas Dance Explosion festival and their agents harmless from suits, claims and demands of every kind and character arising out of and in conjunction with this event. We hereby assign all rights to Video taping and sound recording of us on November 14-18, 2012, and hereby authorize the reproduction, sales, copyright exhibition, broadcast and distribution of those videotapes without limitation. I acknowledge there are NO REFUNDS once payment has been received.
Do you agree to the terms of the disclaimer?  
You must type in Yes I Agree in the box above for the form to process!  

You Must Select A Payment Method
You have 2 options of making your purchase by credit card. Use our secure online shopping cart or call us on the telephone (951) 756-4451 after you submit your registration form. THIS IS VERY IMPORTANT. We need to know how you are paying so we can match up your registration with your purchase. Please do not skip this section!!
Use our secure Shopping Cart Call us on the Telephone

          

* * Important Note:  Here's what happens when you click on "Register for Event"
  • The form sends an e-mail to Doug & Jackie at: vegasexplosion@djdancing.com
  • You DO NOT get an e-mail!
       (Doug and Jackie include everything in your Welcome Packet at the event.)
  • You get sent to the "Thank You" page, which means your registration was sent.
  • If you see the "Thank You" page, that is your registration confirmation!
  • If you do not see the "Thank You" page, then your registration e-mail was not sent!
  • No "Thank You" page? Please contact webmaster, Bronco Jim jim@broncowebdesign.com
  • Please put Vegas Dance Explosion Registration Problem in the Subject Line
The e-mail that is created and sent by this form goes to E-mails Servers that are
H.I.P.A. (Health Information Protection Act) compliant. H.I.P.A. requirements insist
that there be a 128 bit encryption in all e-mails coming and going from the servers.

• DDM Productions •
535 Maggie Mack Lane, Sevierville, TN 37862
Phone: (951) 756-4451 Fax: (865) 774-3333
E-mail: BonanzaB@aol.com

For questions contact Doug or Jackie day or evening!