Come Dancing!! Showcase Registration Form ) Viennese Waltz $10 ( ) Rumba $10 ( ) Cha Cha $10 ( )...

Please complete this form and enclose payment www.comedancing.ca Come Dancing!! Showcase Registration Form Christ Chucrh Auditorium – 1700 Mazo Crescent Mississauga, ON - Saturday, May 12 th , 2018 (1:00pm) Participant Information Registration Deadline: May 1 st , 2018 Name (s) Phone (H) Cell # E-Mail Studio City Teacher Type [ ] Participant Single [ ] Participant Couple [ ] Spectator Event Fees Social Dancing Heats Level Entry Sub-Total Participant Registration Fee single = 1 or couple = 2 @ $25 American Style Beg Bronze Silver Gold + ( ) Waltz $10 ( ) Tango $10 ( ) Fox Trot $10 ( ) Viennese Waltz $10 ( ) Rumba $10 ( ) Cha Cha $10 ( ) East Coast Swing $10 ( ) Mambo $10 ( ) Bolero $10 ( ) Samba $10 ( ) West Coast Swing $10 ( ) Salsa $10 ( ) Bachata $10 ( ) Merengue $10 ( ) Hustle $10 International Style Beg Bronze Silver Gold + ( ) Waltz $10 ( ) Tango $10 ( ) Fox Trot $10 ( ) Viennese Waltz $10 ( ) Quickstep $10 ( ) Rumba $10 ( ) Cha Cha $10 ( ) Jive $10 ( ) Samba $10 ( ) Paso Doble $10 Grp Formation Routine Participant Dance: School: @ $5 Solos Dance(s): @ $20 Spectator Tickets # of tickets: @ $25 Please note that showcase fees do not include any instructor and/or studio affiliated fees. Please check with your studio director for more info. *Limit time on solos is 2.5 minutes. Any solo that goes beyond this time will be stopped at the 2.5 minute mark. Total Enclosed Method of Payment : ( ) Cash ( ) Debit ( ) Cheque ( ) Visa ( ) MasterCard Card #: __________________________________ exp: ___/___ cv# ____ (on back of card) Name on card: _________________________________________________ (Cheques are to be made payable to Come Dancing!! Incorporated) Registrations may be e-mailed to [email protected] c/o Showcase 2018 or mailed to Come Dancing!! Inc. c/o PO Box 223 Toronto, ON M6J 3P4 Submission of the form by the party of parties listed above signifies the following statement; “We agree to hold the organizers of this event and their agents harmless of all suits, claims, or demands of every kind and character arising out of and in conjunction with this event. We hereby authorize the reproduction, sale, copyright, exhibition, broadcast and/or distribution of any event video and photos without limitations. We understand the physical risks of entering demonstration and social dancing and assume full responsibility for any injury or personal damages resulting from the event named above. We certify that we are 18 years of age or older.” (Applicable to legal guardian if under 18 years of age.) Signature(s): Date: Signature(s): Date:

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Transcript of Come Dancing!! Showcase Registration Form ) Viennese Waltz $10 ( ) Rumba $10 ( ) Cha Cha $10 ( )...

Page 1: Come Dancing!! Showcase Registration Form ) Viennese Waltz $10 ( ) Rumba $10 ( ) Cha Cha $10 ( ) East Coast Swing $10 ( ) Mambo $10 ( ) Bolero $10 ... Any solo that goes beyond this

Please complete this form and enclose payment www.comedancing.ca

Come Dancing!! Showcase Registration Form Christ Chucrh Auditorium – 1700 Mazo Crescent Mississauga, ON - Saturday, May 12th, 2018 (1:00pm)

Participant Information Registration Deadline: May 1st , 2018

Name (s) Phone (H) Cell # E-Mail Studio City Teacher Type [ ] Participant Single [ ] Participant Couple [ ] Spectator

Event Fees Social Dancing Heats Level Entry Sub-Total

Participant Registration Fee single = 1 or couple = 2 @ $25 American Style Beg Bronze Silver Gold +

( ) Waltz $10 ( ) Tango $10 ( ) Fox Trot $10 ( ) Viennese Waltz $10 ( ) Rumba $10 ( ) Cha Cha $10 ( ) East Coast Swing $10 ( ) Mambo $10 ( ) Bolero $10 ( ) Samba $10 ( ) West Coast Swing $10 ( ) Salsa $10 ( ) Bachata $10 ( ) Merengue $10 ( ) Hustle $10

International Style Beg Bronze Silver Gold + ( ) Waltz $10 ( ) Tango $10 ( ) Fox Trot $10 ( ) Viennese Waltz $10 ( ) Quickstep $10 ( ) Rumba $10 ( ) Cha Cha $10 ( ) Jive $10 ( ) Samba $10 ( ) Paso Doble $10

Grp Formation Routine Participant Dance: School: @ $5 Solos Dance(s): @ $20 Spectator Tickets # of tickets: @ $25

Please note that showcase fees do not include any instructor and/or studio affiliated fees. Please check with your studio director for more info.

*Limit time on solos is 2.5 minutes. Any solo that goes beyond this time will be stopped at the 2.5 minute mark. Total Enclosed

Method of Payment : ( ) Cash ( ) Debit ( ) Cheque ( ) Visa ( ) MasterCard Card #: __________________________________ exp: ___/___ cv# ____ (on back of card) Name on card: _________________________________________________ (Cheques are to be made payable to Come Dancing!! Incorporated) Registrations may be e-mailed to [email protected] c/o Showcase 2018 or mailed to Come Dancing!! Inc. c/o PO Box 223 Toronto, ON M6J 3P4 Submission of the form by the party of parties listed above signifies the following statement; “We agree to hold the organizers of this event and their agents harmless of all suits, claims, or demands of every kind and character arising out of and in conjunction with this event. We hereby authorize the reproduction, sale, copyright, exhibition, broadcast and/or distribution of any event video and photos without limitations. We understand the physical risks of entering demonstration and social dancing and assume full responsibility for any injury or personal damages resulting from the event named above. We certify that we are 18 years of age or older.” (Applicable to legal guardian if under 18 years of age.)

Signature(s): Date: Signature(s): Date: