Click Here for Printer Friendly Version SUMMERDANSE ENTRY FORM Information: 716-549-4484 E-mail bevsdance4484@hotmail.com ENTRY DEADLINE...ALL ENTRIES MUST BE POSTMARKED 30 DAYS BEFORE EACH COMPETITION LATE ENTRIES...$5.00 PER PERSON-PER ENTRY, UP TO 15 DAYS BEFORE COMPETITION. ALL LATE ENTRIES MUST BE PAID FOR IN CASH, MONEY ORDER OR CERTIFIED CHECK.
***COMPETITION SITES--PLEASE CHECK ONE***
Ages:(6yrs & under) (7-8)(9-10) (11-12) (13-14) (15-16) (17-19) (20-29) (30yrs. & over) Age Division:_____________ Number of students in routine:_____________ Age as of April 1st, 2009 Average age - drop decimal point _________________________________________________________________________ ***DANCE DIVISIONS -- PLEASE CHECK ONE***
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***CATEGORY -- PLEASE CHECK ONE***
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Solo ___ Novice Group ___ $20.00 ea. |
Duet/Trio___ $28.00 ea. |
Small Group (4-9)___ $20.00 ea. Production ___ |
Large Group (10+) ___ $20.00 ea. |
LATE FEE $5.00 ----- PROGRAMS $4.00
Prices are Listed US funds
TOTAL AMOUNT ENCLOSED:_______________
Please make checks payable to B. Grodesky and mail entry to:
SUMMERDANSE COMPETITION - 719 BEACH ROAD - ANGOLA, NY 14006
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Title of Music: __________________________________________________________________ Name of dance teacher:___________________________________________________________ Name of dance studio:____________________________________________________________ Studio address:_______________________________ City:______________________Zip:______ Studio phone:__________________________ Fax:______________________ Home phone of studio owner:_________________________ E-mail________________________ |
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Please list the following information for students on this entry form:- Continue names on back
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Name _____________________________________ _____________________________________ _____________________________________ |
Age as of April 1st ________________ ________________ ________________ |
Birthdate _____________ _____________ ______________ |
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