PRO/AM INTERNATIONAL STYLE PROFICIENCY UNCONTESTED NYDF 2015 15-18 © 2015 NYDF Contact First Name Contact Last Name Studio Name Email Address Phone City Fax State Zip INSTRUCTOR: NDCA # First Name Last Name AMATEUR GENT: First Name Last Name AMATEUR LADY: First Name Last Name PLEASE CHECK AGE CATEGORY: □ A (16-30) □ A1 (25-40) □ A2 (35-50) □ □ □ PLEASE CHECK AGE CATEGORY: B1 (66-75) C (75+) Single Dance Events Adults $37 per dance Jrs $12 per dance NC cl NC op PB cl PB op B1 cl □ □ □ B (51-65) □ J2 (14-15) □ Y (16-18) PT1 (9 or less) PT2 (10-11) J1 (12-13) TO BE DANCED WITH PRO/AM Please use one form per age category entered. If ALL single dance entries are exactly duplicated, use one form and check desired ages. B1 op B2 cl B2 op FB cl OP BRZ S1 cl S1 op S2 cl S2 op FS cl OP SIL G1 cl G2 cl FG cl OP GLD GS # @ $37 #@ $12 Total Waltz Tango V. Waltz Foxtrot Quickstep Cha Cha Samba Rumba Paso Doble Jive Single Dance Totals: Solo Exhibitions 2 ½-minute limit Title or Dance: Music must be provided on CD or labeled memory stick Syllabus Level: **No entries will be accepted if not accompanied by payment in full # @ $100 per dance Total Age Category: Total Entries This Page (All discounts are applied using the “Account Summary” page) $ EARLY BIRD DEADLINE: Entries must be postmarked and paid in full via STUDIO CHECK, CASHIER’S CHECK, or MONEY ORDER and received by January 10, 2015. FINAL ENTRY DEADLINE: January 29, 2015. PLEASE MAKE PAYMENTS PAYABLE TO: NY Dance Festival. MAILING ADDRESS: NYDF Processing Center – 162 Broad St. – Clifton, NJ 07013 EMAIL: [email protected] ● PHONE: 347-829-NYDF (347-829-6933) ● FAX: 646-661-3358 ● www.nydancefestival.com