2016 2014
Dance Competition Registration Form
ORGANIZATION/CONTACT INFORMATION ORGANIZATION/CONTACT INFORMATION ____________________________________________________
SELECT YOUR TOUR ____________________________________________________
STUDIO LIVE! PA January 22-24, 2016 Organization Name ____________________________________________________ ____________________________________________________ STUDIO LIVE! NC ___________________________________________________________________ Home Phone Day Phone Organization Address February 6, 2016 Organization Address STUDIO LIVE! VA ____________________________________________________ ____________________________________________________ ___________________________________________________________________ March 5, 2016 Address City State Zip City State Zip STUDIO LIVE! SC ___________________________________________________________________ ____________________________________________________ ____________________________________________________ April City State Zip 26, 2016 Phone Fax Phone Fax STUDIO LIVE! OH ___________________________________________________________________ ____________________________________________________ April 23-24,2016 LOCATION Contact Name ___________________________________________________________________ Contact Name Organization Name
Email Address
Please select the 2014 STUDIO LIVE! competition you will be attending. ___________________________________________________________________
Contact AprilPhone 12 | Columbus, OH
Contact Email May 10 | Portsmouth, VA
PERFORMANCE CATEGORY
AGE DIVISION
ROUTINE 1
Routine Name _____________________________________________________________________ # of Dancers ____________
ROUTINE 2
Solo Duet/Trio Small Group (4-9) Large Group (10-19) Line (20-25) Production (26+)
Routine Name _____________________________________________________________________ # of Dancers ____________
ROUTINE 3
Age 3-7 Age 8-10 Age 11-12 Age 13-15 Age 16-19 Age 20+
COMPETITION DIVISIONS
Routine Name _____________________________________________________________________ # of Dancers ____________
ROUTINE 4
Mini Petite Junior Teen Senior Open/Adult
DIFFICULTY LEVEL
Recreational: Debut: 1-2 hours/week in the studio 1-2 hours/week in the studio Premier: 3-5 hours/week in the studio Premier: 3-5 hours/week in the studio Elite: 6+ hours/week in the studio Elite: 6+ hours/ week in the studio
Routine Name _____________________________________________________________________ # of Dancers ____________
ROUTINE 5
Acro All Male Improv. LyricalPointe ModernTap BalletBallet Jazz Character Musical Theatre Character Clogging Lyrical Open Teacher Clogging Modern Pointe Contemporary Hip Hop Musical Theatre Tap Contemporary Jazz Teacher Hip Hop Open
For more info, visit AmeriDanceInc.com/studiolive
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 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 __________________________________________________ Routine Name _____________________________________________________________________ # of Dancers ____________ 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 Each Solo $ For 0 For Each Solo
$90.00 X _____= _________ $ 0.00 _________ = _________
METHOD OF PAYMENT
$55 Per Per PersonPerson Duet/TrioDuet Trio $55
$55.00 X _____= _________ $55.00 _________ = _________
Check or Money Order (make checks payable to AmeriDance)
$50 Per Person For
total = _________ $50.00 # of dancers _________
# of soloists total of soloists
total
# of dancers total of dancers total $50.00 Per Person For Small and Large Groups $50.00 X _____= _________
roups
$40.00 Per Person for Line and Production
of dancers total $40.00 X _____= _________ # of routines
total
Total Enclosed Total Entry Entry FeeFee Enclosed ________________
CREDIT CARD
Visa
AME (Columbus Competition Only)
School Purchase Order Credit Card (please fill out credit card information below)
MasterCard
Discover
Account # _______________________________________ Cardholder’s Name____________________________________________ E p. Date _________________ Security Code ________ Street Address _______________________________________________ State ______ illing ip ________________ Signature ______________________________________________________________
[email protected] Return completed registration form and payment to: STUDIO LIVE! Competitions | 20 Collegeview Rd. | Westerville, OH 43081 | fax: 614.898.0404 |
[email protected] [email protected]
2016 2014 Contestant ContestantRoster Roster Duplicate this roster for each routine.
NAME OF ROUTINE _________________________________________________________ Name
Date of Birth
Name
Date of Birth
1. _______________________________________
2 . _______________________________________
2. _______________________________________
2 . _______________________________________
3. _______________________________________
2 . _______________________________________
4. _______________________________________
2 . _______________________________________
5. _______________________________________
30. _______________________________________
. _______________________________________
31. _______________________________________
. _______________________________________
32. _______________________________________
. _______________________________________
33. _______________________________________
. _______________________________________
34. _______________________________________
10. _______________________________________
35. _______________________________________
11. _______________________________________
3 . _______________________________________
12. _______________________________________
3 . _______________________________________
13. _______________________________________
3 . _______________________________________
14. _______________________________________
3 . _______________________________________
15. _______________________________________
40. _______________________________________
1 . _______________________________________
41. _______________________________________
1 . _______________________________________
42. _______________________________________
1 . _______________________________________
43. _______________________________________
1 . _______________________________________
44. _______________________________________
20. _______________________________________
45. _______________________________________
21. _______________________________________
4 . _______________________________________
22. _______________________________________
4 . _______________________________________
23. _______________________________________
4 . _______________________________________
24. _______________________________________
4 . _______________________________________
25. _______________________________________
50. _______________________________________
[email protected] Please send entries to: STUDIO LIVE! Competitions | 20 Collegeview Rd. | Westerville, OH 43081 | fax: 614.898.0404 |
[email protected] [email protected]
