Registration Form


Total Entry Fee Enclosed ______. METHOD OF PAYMENT. □ Check or Money Order. (make checks payable to AmeriDance). □ School Purchase Order #______. ...

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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. _______________________________________

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32. _______________________________________

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24. _______________________________________

49. _______________________________________

25. _______________________________________

50. _______________________________________

Please send entries to: STUDIO LIVE! Competitions | 20 Collegeview Rd. | Westerville, OH 43081 | fax: 614.989.0404 | [email protected]