pro-am open registration form scholarship · web viewcancellation policy: no refunds will be made...

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PRO-AM AMERICAN STYLE Registration Form For Student/Student entries please put S/S in S/S column & list one student in each name column Studio: Contact Name: Address: Email: Telephone: Age divisions: Pre-Teen PT1 1-9 PT 2(10-11) Junior J1 (12-13) J2 (14-15) Youth Y (16-18) LA/GA (18-20) LA1/GA1 (21-30) LA2/GA2 (31-40) LA3/GA3 (41-50) LB/GB (51-60) LB1/GB1 (61-70) LC/GC (71-80) LC1/GC1 (81-over) All silver and above categories will be a unisex competition. Categories: Newcomer Newcomer Silver Associate Gold Pre-Bronze Associate Silver Full Gold Associate Bronze Full Silver Open Gold Full Bronze Open Silver SHOWCASES – available in all categories Open Bronze Newcomer Gold RISING STAR – available in all categories Check out our “NEW” Toddler Division – Costumes are encouraged (No entry fee required) PROFICIENCY – available in all categories Teachers Name: SSN: Name S/S Age Categories W T F VW PEA TS LH AT CC R SW B M MER S WCS SAL H PD PT1 Newcomer PT1 Newcomer PT1 Newcomer PT1 Newcomer PT1 Newcomer PT1 Newcomer Cancellation Policy: No refunds will be made for entries, sessions, or packages after the final deadline of May 10 th , 2018. Send forms and fees to: “Dancing a la Carte” c/o David Rosinski, 200 Lambert Terrace #28 Chicopee, MA 01020, Ph/Fax (413) 538-7991 Email: [email protected]

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Page 1: PRO-AM OPEN Registration Form Scholarship · Web viewCancellation Policy: No refunds will be made for entries, sessions, or packages after the final deadline of May 10th, 2018. Send

PRO-AM AMERICAN STYLE Registration FormFor Student/Student entries please put S/S in S/S column & list one student in each name column

Studio:       Contact Name:      

Address:       Email:       Telephone:      

Age divisions: Pre-Teen PT1 1-9 PT 2(10-11) Junior J1 (12-13) J2 (14-15)Youth Y (16-18) LA/GA (18-20) LA1/GA1 (21-30) LA2/GA2 (31-40) LA3/GA3 (41-50)LB/GB (51-60) LB1/GB1 (61-70) LC/GC (71-80) LC1/GC1 (81-over)

All silver and above categories will be a unisex competition.

Categories: Newcomer Newcomer Silver Associate GoldPre-Bronze Associate Silver Full GoldAssociate Bronze Full Silver Open GoldFull Bronze Open Silver SHOWCASES – available in all categoriesOpen Bronze Newcomer Gold RISING STAR – available in all categories

Check out our “NEW” Toddler Division – Costumes are encouraged (No entry fee required) PROFICIENCY – available in all categories

Teachers Name:       SSN:      

Name S/S Age Categories W T F VW PEA TS LH AT CC R SW B M MER S WCS SAL H PD

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

      PT1 Newcomer

Total Entries:      

Cancellation Policy: No refunds will be made for entries, sessions, or packages after the final deadline of May 10th, 2018.Send forms and fees to: “Dancing a la Carte” c/o David Rosinski, 200 Lambert Terrace #28 Chicopee, MA 01020, Ph/Fax (413) 538-7991Email: [email protected]