Form F Male: DOB: mm/dd/yy: NDCA#: Female: Amateur Multi Dance, Showdance & Scholarship Entry Form Age: DOB: mm/dd/yy: NDCA#: Adult contact name: Session 4 or 5 Category Dance Style Age Session 4 Per Group $60 Category Dances Pre-Championship - Int'l Ballroom Waltz, Tango, Foxtrot, Quickstep Showdance - Max 2:45 minutes Pre-Championship - Int'l Latin Cha Cha, Samba, Rumba, Jive Showdance - Max 2:45 minutes Pre-Championship - American Smooth Waltz, Tango, Foxtrot, V. Waltz Showdance - Max 2:45 minutes Pre-Championship - American Rhythm Cha Cha, Rumba, Swing, Bolero Total Showdance Entries $: Session 5 Per Couple $30 Dances Category Senior Open - Int'l Ballroom (35+) Waltz, Tango, V. Waltz, Foxtrot, Quickstep Senior Open - Int'l Latin (35+) Cha Cha, Samba, Rumba, Paso Doble, Jive Waltz, Tango, V. Waltz, Foxtrot, Quickstep Amateur Under 21 - Int'l Latin Cha Cha, Samba, Rumba, Paso Doble, Jive Amateur Under 21 - American Smooth Waltz, Tango, Foxtrot, V. Waltz Amateur Under 21 - American Rhythm Category Dances Pre-Novice - Int'l Ballroom Cha Cha, Rumba, Swing, Bolero Dances Waltz, Tango Open Am - Int'l Ballroom Scholarship Waltz, Tango, V. Waltz, Foxtrot, Quickstep Pre-Novice - Int'l Ballroom Foxtrot, Quickstep Open Am - Int'l Latin Scholarship Cha Cha, Samba, Rumba, Paso Doble, Jive Pre-Novice - Int'l Latin Cha Cha, Samba Open Am - Am Smooth Scholarship Pre-Novice - Int'l Latin Rumba, Jive Open Am - Am Rhythm Scholarship Pre-Novice - American Smooth Waltz, Tango Pre-Novice - American Rhythm Cha Cha, Rumba Novice - Int'l Ballroom Waltz, Foxtrot, Quickstep Novice - Int'l Latin Cha Cha, Rumba, Jive Novice - American Smooth Waltz, Tango, Foxtrot Novice - American Rhythm Cha Cha, Rumba, Swing - Phone: Per Couple $40 Accounting Total Show/ Group Entries $: 1 + Total U21, Pre-Novice and Novice Dance Entries $: 2 Senior Open - American Rhythm (35+) Cha Cha, Rumba, Swing, Bolero 3 + Total Pre-Champ and Senior Dance Entries $: Session 4 4 + Total Open Amateur Dance Entries $: Cha Cha, Rumba, Swing, Bolero, Mambo Total Open Amateur (Scholarship) Dance Entries $: - 3 Waltz, Tango, Foxtrot, V. Waltz Videotaping: Spectators require a $25 video pass in order to film amateur children (under 21) dancing in Session 5. Email: info@BallroomBeachBash Total Pre-Champ and Senior Dance Entries $: Per Couple $45 Session Tickets: All Competitors, parents and spectators must purchase tickets to enter the ballroom. Entry fee does not include admission tickets 2 Total U21, Pre-Novice and Novice Dance Entries $: www.BallroomBeachBash.com Teacher: Senior Open - American Smooth (35+) Waltz, Tango, Foxtrot, V. Waltz Amateur Under 21 - Int'l Ballroom Session 4 Studio: email: Showdance - Max 2:45 minutes 1 Entry Deadline: March 1st, 2015 Age: Phone: 858-633-7705 / Fax: 858-712-0700 4 = $ Total Form FFees Transfer to Accounting Summary Form J
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