ONLINE REGISTRATION FORM

(If you would like a hard copy, please send a request to TapKat5678@aol.com)

BEFORE YOU BEGIN

Please read the "Rules and Regulations" page to understand appropriate categories, age division and ability levels.

Make copies of this form for each dance number you are entering

LATE ENTRIES

Late entries or changes will be accepted with a $10.00 late charge. Once entries have reached our office, no refunds will be made due to cancellation by studio members or parents.

PLEASE DOUBLE CHECK YOUR ENTRY FORM TO MAKE SURE YOUR INFORMATION IS ENTERED CORRECTLY. STUDIO INFORMATION MUST BE TOTALLY FILLED OUT FOR EACH ENTRY.

* Required fields

Name *

E-mail Address *

Competition City *

Studio Name *

Director *

Address *

City *

State *

Zip *

Teacher's Name *

Teacher's Cell *

Studio Phone # *

Song Title *

Length of Song *

Please Select One * Dancers enter before music and pose Dancers exit with music Dancers enter with music Dancers exit after music ends

Category * Ballet Modern Production Pointe Jazz Musical Theatre Hip Hop Open Tap Lyrical Student Choreography Contemporary Song and Dance

Section * Solo Duo/Trio Small Group (4-9) Large Group (10-19) Line/Production (20+)

Age Divisions * 5-6 7-8 9-10 11-12 13-14 15-16 17 and up

Level of Ability * Beginner - No prior experience. Intermediate - More complex technique Advanced - Demonstrates a strong knowledge of proper technique.

Number of Routines *

Number of Dancers *

Total Fees (see below) *

Dancer's Names *

I have read and agree to the Privacy Policy *

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Entry Fees

Solos                                         $75

Duo/Trios                                   $40 (per dancer)

All Groups and Lines                $28

General Admission             FREE

TOTAL   =   Number of Dancers   x   Fee 

MAKE ALL FEES PAYABLE TO :

Dance Expressions     •     Attn : Cathy Tubolino, Director

127 Gwnymont Drive    •    North Wales, PA 19454

        (Business Check Only)