| Please select one: |
Enrolled in Varsity Family Plan: |
YES |
NO |
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Competition Location & Date:
School/Studio Name Coach's Name
School/Studio Address City State Zip
School/Studio Mailing Address City State Zip
Day Contact # Email
Team Colors:
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★ATTENTION COACHES - READ CAREFULLY!★
1. ALL REGISTRATION FORMS & FEES ARE DUE 3 WEEKS PRIOR TO THE NATIONAL COMPETITION.
2. IF PAYMENT IS RECEIVED AFTER 1 WEEK PRIOR TO COMPETITION SEE BELOW FOR PAYMENT AMOUNTS & CASH, MONEY ORDER, CASHIER'S CHECK or CREDIT CARD
WILL BE THE ONLY FORMS OF PAYMENT ACCEPTED! |
| NO ADDS OR CHANGES WILL BE ACCEPTED THE WEEK OF THE COMPETITION! |
| TEAM # |
Name of Squad |
Please use the
corresponding
numbers (1, 2, 3, 4,
etc.) to indicate
which teams have
crossovers |
All Star
Dance Studio
Rec League
School |
CATEGORY
Pom - Jazz
Hip-Hop - Lyrical
Variety - Prop
Modern - Production
Show Team - Exhibition Team
Parent Team - Special Athlete |
Age as of May
31st (Highest &
lowest grades for
Schools/Rec) |
# of boys |
Age Division
See Guidelines |
Total # on team |
| 1 |
EX: Rock Star Youth Jazz |
|
Studio |
Jazz |
11 yrs & younger |
0 |
Youth |
24 |
| 2 |
EX: Rock Star Jr. Silver |
1 |
Studio |
Hip-Hop |
14 yrs & younger |
0 |
Junior |
18 |
| 3 |
EX: Rock City School Jr. Hip-Hop th |
1 |
School |
Hip-Hop |
9th & Under |
0 |
Junior |
18 |
| 1 |
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| 3 |
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| 4 |
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| 5 |
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| LIST SCHEDULING CONFLICTS HERE FOR EMERGENCY SITUATIONS: |
| Total number of dancers participating in team events |
# |
| IF PAYMENT IS RECEIVED 3 WEEKS PRIOR TO COMPETITION PAY BELOW: |
|
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$ |
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$ |
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$ |
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$0.00 |
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$ |
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$ |
# Parent Pit Pass (2 per team) NOTE: PARENTS MUST ALSO HAVE PURCHASED THEIR SPECTATOR'S BAND PRIOR TO BEING
ALLOWED TO ACCESS THE PARENT PIT AREAS! # Free Coaches' Passes & Gift |
#P |
#C |
| PRE-PAID SPECTATOR WEEKEND PASS # X $30, IF RECEIVED 3 WEEKS PRIOR TO THE COMPETITION |
|
$ |
FED EX FEE
$ |
| IF PAYMENT IS RECEIVED THE WEEK OF COMPETITION PAY BELOW: |
|
# X $125 per dancer
(CASH, MONEY ORDER, CASHIER'S CHECK OR CREDIT CARD ONLY) |
$ |
# X $85 per dancer (2nd Category)
(CASH, MONEY ORDER, CASHIER'S CHECK OR CREDIT CARD ONLY) |
$ |
# X $65 per dancer (3rd + Categories)
(CASH, MONEY ORDER, CASHIER'S CHECK OR CREDIT CARD ONLY) |
$ |
| INDIVIDUAL TOTAL: FROM NATIONAL INDIVIDUAL REGISTRATION FORM |
$ |
| SUB-TOTAL |
$ |
| # Sponsored Athlete (1 per Team) |
-$ |
| TOTAL AMOUNT |
$ |
Paying by (Select):
Credit Card:
Grand Total amount to charge (plus $5 processing fee) $
|
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FOR OFFICE USE ONLY Tables: Data: Ros: Pay: Sch: Other
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