2014
Dance Competition Registration Form
ORGANIZATION/CONTACT INFORMATION ____________________________________________________ Organization Name
____________________________________________________ Contact Name
____________________________________________________ Organization Address
____________________________________________________ Home Phone Day Phone
____________________________________________________ City State Zip
____________________________________________________ Address
____________________________________________________ Phone Fax
____________________________________________________ City State Zip ____________________________________________________ Email Address
LOCATION Please select the 2014 STUDIO LIVE! competition you will be attending. April 12 | Columbus, OH
PERFORMANCE CATEGORY
AGE DIVISION
DIFFICULTY LEVEL Debut: 1-2 hours/week in the studio Premier: 3-5 hours/week in the studio
Solo Duet/Trio Small Group (4-9) Large Group (10-19) Line (20-25) Production (26+)
ROUTINE 1
Elite: 6+ hours/week in the studio
COMPETITION DIVISIONS
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 2
Age 3-7 Age 8-10 Age 11-12 Age 13-15 Age 16-19 Age 20+
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 3
Mini Petite Junior Teen Senior Open/Adult
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 4
Lyrical Modern Musical Theatre Open Pointe Tap Teacher
For more info, visit AmeriDanceInc.com/studiolive
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 5
All Male Ballet Character Clogging Contemporary Hip Hop Jazz
May 10 | Portsmouth, VA
Routine Name ______________________________________________________________________ # of Dancers _____________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Registration Deadline: The registration deadline for each competition is four (4) weeks prior to the competition date. Registrations received after the deadline will be assessed a $100 late fee. Entry Fees: Entry fees are required to be paid in U.S. funds only and are non-refundable. All checks returned are subject to a $35 NSF fee plus the incurred late fees. No more than two (2) checks for each registration. Payments made within two (2) weeks must be in the form of cash (please do not mail cash), cashier’s check, or credit card. Cancellation: STUDIO LIVE! reserves the right to cancel any event that does not meet the minimal number of acceptable entries. In the event this should occur, all entry fees will be refunded. There will be NO refunds on entries after the minimum number of entries have been received and the competition has been confirmed. Inclement Weather Policy: In the event that a competition has to be re-scheduled or cancelled due to inclement weather or unforeseen circumstances, all registration fees will be applied to future STUDIO LIVE! events. No refunds will be given.
ROUTINE 6
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 7
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 8
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 9
Routine Name ______________________________________________________________________ # of Dancers _____________
ROUTINE 10
Routine Name ______________________________________________________________________ # of Dancers _____________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
Performance Category ____________________________________________ Age Division ________________________________ Difficulty Level___________________________ Competition Division ___________________________________________________
SOLOISTS ONLY - COMPLETE THIS PORTION Name ______________________________________________________________________________________________________ Birth Date _________/_________/__________ Age ________ Phone (______)_____________________________________________ Dancer’s Email ________________________________________________________________________________________________ (if independent, submit address)
Steet Address________________________________________________________________________________________________ City ________________________________________________________________ State_______________ Zip _________________
PAYMENT $90 For Each Solo
$90.00 X __________ = __________
$55 Per Person Duet/Trio
$55.00 X __________ = __________
# of soloists
# of dancers
total total
$50 Per Person For Groups $50.00 X __________ = __________
# of dancers
total
Total Entry Fee Enclosed __________
CREDIT CARD
Visa
AMEX (Columbus Competition Only)
METHOD OF PAYMENT Check or Money Order (make checks payable to AmeriDance) School Purchase Order #__________ Credit Card (please fill out credit card information below) MasterCard
Discover
Account #________________________________________ Cardholder’s Name____________________________________________ Exp. Date__________________ Security Code_________ Street Address ________________________________________________ State _______ Billing Zip_________________ _ Signature_______________________________________________________________ Return completed registration form and payment to: STUDIO LIVE! Competitions | 20 Collegeview Rd. | Westerville, OH 43081 | fax: 614.989.0404 |
[email protected]
2014 Contestant Roster
Duplicate this roster for each routine.
NAME OF ROUTINE _________________________________________________________ Name
Date of Birth
Name
Date of Birth
1. _______________________________________
26. _______________________________________
2. _______________________________________
27. _______________________________________
3. _______________________________________
28. _______________________________________
4. _______________________________________
29. _______________________________________
5. _______________________________________
30. _______________________________________
6. _______________________________________
31. _______________________________________
7. _______________________________________
32. _______________________________________
8. _______________________________________
33. _______________________________________
9. _______________________________________
34. _______________________________________
10. _______________________________________
35. _______________________________________
11. _______________________________________
36. _______________________________________
12. _______________________________________
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14. _______________________________________
39. _______________________________________
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40. _______________________________________
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42. _______________________________________
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19. _______________________________________
44. _______________________________________
20. _______________________________________
45. _______________________________________
21. _______________________________________
46. _______________________________________
22. _______________________________________
47. _______________________________________
23. _______________________________________
48. _______________________________________
24. _______________________________________
49. _______________________________________
25. _______________________________________
50. _______________________________________
Please send entries to: STUDIO LIVE! Competitions | 20 Collegeview Rd. | Westerville, OH 43081 | fax: 614.989.0404 |
[email protected]
