Provincetown Dance Trophy The 5 th annual Boston Open DanceSport competition

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1 REGISTRATION FORM FOR 2017 USA CHAMPIONSHIP (MULTI-DANCE DIVISION) NAME: PARTNER S NAME: PHONE: SAME-SEX COUPLE: MALE FEMALE OPEN GENDER Couple: Male lead Female Female lead Male *At least one of the partners should be a and at least one of the partners should be a resident of USA (placed in 1st place in class A) to garner the USA Championship title. Fees per event, per style: $80 per style entries. s can use $10 discount. 1) GRADED ROUNDS FOR US CHAMPIONSHIPS Age W T Q CHA R J W T F CHA R SW Age over 45 W T Q CHA R J W T F CHA R SW Class E/ Newcomer Level Class D/ Beginner Level Class C/ Intermediate Class B/ Advanced Level Class A/ Top Level Mark the appropriate age, level and dance styles in the Graded Rounds box. The grading is for the 3 dances in style. If not prepared 3rd dance, couple can step out of the dancefloor. Over 45 age category can compete in the younger one. After being graded, the Competition Final Rounds will begin. 2) COMPETITION/FINAL ROUNDS WILL INCLUDE: Class E/ NEWCOMER Level W T CHA R W F CHA R Class D/ BEGINNER Level W T Q CHA R J W T F CHA R SW Class C/ INTERMEDIATE Level W T Q CHA R J W T F CHA R SW Class B/ ADVANCED Level W T F Q CHA R S J W T F V.W CHA R SW M Class A/ TOP Level W T V.W F Q CHA R S PD J W T F V.W CHA R SW B M Dances are: W-Waltz T-Tango V.W-V.Waltz F-Foxtrot Q-Quickstep CHA-Cha-cha R-Rumba S-Samba PD-Paso Doble J-Jive SW-Swing B-Bolero M-Mambo 2017 is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street, Provincetown MA

2 NAME: REGISTRATION FORM FOR SINGLE DANCE DIVISION PARTNER S NAME: PHONE: SAME-SEX Couple: MALE FEMALE OPEN GENDER Couple: Male lead Female Female lead Male SINGLE DANCES Age category: Above 45 Fees per couple per single dance: $15 per dance. OTHER DANCES NEWCOMER BEGINNER INTERMEDIATE ADVANCED TOP LEVEL * Single dance division do not have grading rounds. Please, choose the appropriate Age category and level from the options and circle the desired single dances is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street Provincetown MA

3 NAME: REGISTRATION FORM FOR SHOWDANCES AND FORMATION TEAMS PARTNER S NAME: PHONE: SAME-SEX Couple: MALE FEMALE OPEN GENDER Couple: Male lead Female Female lead Male SHOWDANCE DIVISION Fees per couple per showdance: $35 per dance. SHOWDANCE: SHOWDANCE: FORMATION TEAM DIVISION Fees per Team, per dance: $35 per dance. DANCE DANCE FORMATION TEAM NAME: * The length of a Showdance should be no longer then 4min and Formation Team dance should be between 3-5min. Both category allowed the incorporation of lifts. Argentine tango routines should be no longer then 3 min. Please bring your music ready, on CD, USB drive or it to us.(no phones, please) 2017 is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street, Provincetown MA

4 TEACHER/STUDENT REGISTRATION FORM FOR 2017 USA CHAMPIONSHIP (MULTI-DANCE DIVISION) TEACHER S NAME: STUDIO NAME Levels are: Class A (Top Level) Class B (Advanced) Class C (Intermediate) Class D (Beginner) Class E (Newcomer) / PHONE: 1) GRADED ROUNDS FOR USA CHAMPIONSHIP Age categories are: A (18-45); B Over 45; C Over 59; D Over 69 Student Names Couple: Age category Level American Smooth (Example) John Smith *At least one of the partners should be a and at least one of the partners should be a resident of USA in class A to garner the USA Championship title American Rhythm Fees per style: $80 per style entries. s can use $10 discount. Teacher/Student Couples are: Same-Sex; Open Gender (Mainstream, Male lead); Open Gender (Reverse Role, Female lead) International Standard International Latin # of Championships same-sex C Class B X X 2 $160 Fee 2) COMPETITION/FINAL ROUNDS International Standard International Latin American Smooth American Rhythm Class E/ NEWCOMER Level W T CHA R W F CHA R Class D/ BEGINNER Level W T Q CHA R J W T F CHA R SW Class C/ INTERMEDIATE Level W T Q CHA R J W T F CHA R SW Class B/ ADVANCED Level W T F Q CHA R S J W T F V.W CHA R SW M Class A/ TOP Level W T V.W F Q CHA R S PD J W T F V.W CHA R SW B M Please, fill out one Form for each student. Mark the appropriate age and dance style in The Grading Round box. First the couples will be graded, then the Competition final Rounds will begin with the shown above dance per level and style. * Teacher/student couple pays Registration fee for each student in addition to their entries. Dances are: W-Waltz T-Tango V.W-V.Waltz F-Foxtrot Q-Quickstep CHA-Cha-cha R-Rumba S-Samba PD-Paso Doble J-Jive SW-Swing B-Bolero M-Mambo 2017 is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street Provincetown MA

5 TEACHER/STUDENT REGISTRATION FORM FOR SINGLE DANCE DIVISION, SHOWDANCE & FORMATION TEAM TEACHER S NAME: STUDIO NAME / PHONE: Teacher/student couples: Same-sex; Open Gender(mainstream); Reverse Role Age category: A(18-45); B (Over 45); C (Over 59); D (Over 69) Levels: Class A (Top level); Class B (Advanced) Class C (Intermediate); Class D (Beginner); Class E (Newcomer) Students Names Couple Age Level/ Class OTHER DANCES of dances Fees: EXAMPLE (John Smith) samesex D C 10 $150 SHOWDANCE SHOWDANCE FORMATION TEAM NAME: FORMATION TEAM DANCE: 2017 is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street, Provincetown MA

6 PRICE LIST REGISTRATION FEE(one time)...x$25 (per person) =... USA CHAMPIONSHIPS...x$80 (per style) =... SINGLE DANCES...x$15 (per dance) =... SHOWDANCES...x$35 (per dance) =... FORMATION TEAM...x$35 (per dance) =... Hotel (Waterfront room) $180/night...x...nights =... Hotel (Courtside room) $160/night...x...nights =... ship discount (if applicable)... COLLEGE STUDENT...x$45 (per couple) =... *College students: All you can dance -$45/couple (can not be combined with any other discounts) Total:... Early Registration discount of $10/couple apply if registering for Championship or minimum 3 single dances Refunds 100% refund for cancellations made before July 1 st. 50% refund for cancellations made by August 15 th 0% refund for cancellations/no-shows otherwise. * Please, send completed Registration Forms with checks, payable to Boston Open DanceSport to the following address: Tedi Eaton 51 Bonwood Road Needham, MA By agreeing to pay this fee I, the undersigned, am a participant of the Boston Open DanceSport Dance Competitions and events. I warrant that I am physically able to participate in the Dance Competition. I recognize, however, the risk or injury inherent in the Dance Competition. In consideration for being permitted to participate in the Competition, I hereby freely and voluntarily release, discharge, waive and relinquish on behalf of myself, my heirs, executors, administrators or any person claiming on my behalf, any and all claims, actions or causes of action whatsoever for personal injury and/or property damage, and any and all costs, liabilities or expenses, arising directly or indirectly from my participation in the Boston Open DanceSport Competition and their respective officers, organizers, employees, volunteers and assigns. Release form: Boston Open DanceSport and its organizers accept no responsibility for loss or theft of articles in the ballroom or in the changing room for any loss and/or injury sustained by persons participating in this event. Everyone attending this event does so on his/her own risk. All persons attending this event, whether as spectator, competitor, official or guest of the organizers shall be bound by Boston Open DanceSport Same Sex Ballroom Dance Competition, and by participating in this event, automatically becomes obligated to adhere to them is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street Provincetown MA

7 Entry Summary Full Names: Waterfront or Courtyard Hotel check in Hotel check out Welcoming Party Single dances Championships Show dances Argentine Tango Workshop Total $$ GRAND TOTAL $$ *Argentine Tango workshop will be on Friday, September 29th at 5pm, location TBD via is organized by Boston Open DanceSport and sanctioned by NASSPDA Location: Commercial Street, Provincetown MA