Middle School Nationals

March 24, 2018

Long Beach Convention Center Arena

Registration Due: February 23, 2018

School:_______________________ Address:_______________________________________

Coach:__________________ Phone:______________ E-mail:_________________________

Total # of participants: Female____ Male_____

Part A

Team Divisions: $250 per routine (Please check all that apply)

Category Duet/Trio(2-3) Extra Small(4-5) Small(6-8) Large (9+)

Jazz________________________________________

Contemporary________________________________________

Lyrical________________________________________

Hip Hop________________________________________

Kick________________________________________

Pom________________________________________

Open________________________________________

Character________________________________________

Military________________________________________

Co-ed________________________________________

All Male________________________________________

Total # of team dances____ X 200 = $_______ Total fee for team dances

Part B (March 23, 2018)

Improv Solos: $75 per entry (unlimited)

Name Style (Contemporary, Hip Hop)

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Total # of improv solos_____ X 65= $________

Part C (March 23, 2018)

Contact Improv (2-3 dancers): $75 per entry (unlimited)

Name Style (Contemporary, Hip Hop)

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________________________________

________________________________

Total # of contact improv entries______ X 65= $_________

Part D (March 23, 2018)

Solos: $139 per entry (unlimited)

Soloist’s NameGrade

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Total # of solos_____ X 139= $________

Part E

Total Part A $_____Total Part B $_____Total Part C $_____

Total Part D $_____

Total Amount Due (Please add A-D together) $__________

Please remit payment to:

WCE Dance

2060 Avenida de los Arboles, Ste.D #336

Thousand Oaks, CA 91362

Total Amount enclosed $______________ Check_____ Visa____ Mastercard____ Discover____

Card #__________________Exp. Date_____CVC Code____Cardholder’s Name_____________

Cardholder’s Address___________________________________________________________

If paying by credit card a 3% service charge will be added to total.