Students may only dance 2 consecu ve age divisions (may challenge a higher division) and 3 levels (including open levels)

Transcription

1 D Entry Pro-Am & Am/Am, Pre Teen, unior and Youth Single Dance Form Student: Professional: Studio: Contact Phone: Contact / Pro NDCA#: Student Gender: M F Deadline: March 1st, 2017 Pro-Am Am/Am or Mixed-Am Students may only dance 2 consecu ve age divisions (may challenge a higher division) and 3 levels (including open levels) Please fill out a seperate form for each age division Closed Single Dance Events - Restricted Syllabus Event Level Newcomer Wed Day -Session 2 Rhythm CC R Sw Bo Ma 7 & under PT1 () PT2 (10-11) R1 (12-13) R2 (14-15) Youth (16-18) Thur Day - Session 4 Fri Day - Session 6 Sat Day - Session 8 Smooth Intl Ballroom Intl La n W T W VW Pea W T VW F QS CC Sa R PD # Off Package On Package Int. Bronze Full Bronze Open Bronze Int. Silver Full Silver Open Silver Int. Gold Full Gold Open Gold Wed Eve - Session 3 Thur Eve - Session 5 Open Single Dance Events are Unisex General admission ckets for sessions compe ng in are included in entry fee. info@ballroombeachbash Phone: / Fax: D Fees Transfer to Accoun ng Summary Sheet

2 E Lil Squirts, Pre-Teen unior and Youth Mul dance Entry Form Male: : DOB: mm/dd/yy: NDCA#: Female: : DOB: mm/dd/yy: NDCA#: Adult contact name: Studio: Teacher: Phone: Lil Squirts Lil Squirts - Fri Day Session 6 Lil Squirts- Sat Day Session 8 Pre-Teen All Ballroom - Fri - Session 6 All La n - Sat - Session 8 Pre-Teen 1-3 Dance Pre-Teen 1-4 Dance Pre-Teen 1-3 Dance Pre-Teen 1-4 Dance Pre-Teen 2-3 Dance Pre-Teen 2-5 Dance Pre-Teen 2-3 Dance Pre-Teen 2-5 Dance unior All Ballroom - Fri - Session 6 All La n - Sat - Session 8 7 and under 7 and under W/QS CC/ Lil Squirts Entries W/T/F/QS CC/S/ CC/S/R/ CC/S/ CC/S/R/PD/ Pre-Teen Entries Per 20 Per 20 Per 20 Youth Youth - Scholarship Youth - Scholarship Ballroom - Fri - Session 6 La n - Sat - Session Pre-teen:s compe ng in this age category may only dance Bronze, Silver and Gold syllabus figures from the NDCA Approved Figures, Elements & Restric ons. unior 1 and 2 and Youth:s in these age categories are not restricted to Syllabi. Levels: Compe tors may dance up one level but must adhere to all NDCA Rules and Regula ons. CC/S/R/PD/ Youth Entries Per 60 Session Tickets: Kids compe tors ckets are included in their entry fee. All parents and spectators must purchase ckets to enter the ballroom. Kids 12 and under enter free, age ckets are half price, 18 and over full price.. Videotaping: Spectators must purchase a 25 video pass in order to film under18 Amateurs dancing, available in Session 8 only. unior 1-3 Dance unior 1-5 Dance unior 1-3 Dance unior 1-5 Dance unior 2-3 Dance unior 2-5 Dance unior 2-3 Dance unior 2-5 Dance CC/S/ CC/S/R/PD/ CC/S/ CC/S/R/PD/ unior Entries : Organizer reserves the right to ask for a copy of birth cer ficate. E Fees Costuming: Must comply with NDCA Rules as viewable on NDCA.org web site Transfer to Accoun ng Summary Form info@ballroombeachbash Phone: / Fax:

3 F Amateur Mul Dance & Scholarship Entry Form Male: DOB: mm/dd/yy: Female: DOB: mm/dd/yy: Adult contact name: : NDCA#: : NDCA#: Studio: Teacher: Phone: Wed Eve - Session 3 Amateur Under 21 - American Rhythm Pre-Novice - American Rhythm Novice - American Rhythm Pre-Championship - American Rhythm Senior Open - American Rhythm (35+) Open Am - Am Rhythm Scholarship Thu Eve - Session 5 Amateur Under 21 - American Smooth Pre-Novice - American Smooth Novice - American Smooth Pre-Championship - American Smooth Senior Open - American Smooth (35+) Open Am - Am Smooth Scholarship Amateur Rhythm Amateur Smooth Session Tickets: For compe tors the entry fee includes general admission ckets for the sessions they are compe ng in. Parents and spectators must purchase ckets to enter the ballroom. Videotaping: Spectators require a 25 video pass in order to film amateur children (under 21) dancing in compe on. Cha Cha, Rumba, Swing, Bolero Cha Cha, Rumba Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing, Bolero Cha Cha, Rumba, Swing, Bolero Cha Cha, Rumba, Swing, Bolero, Ma Waltz, Tango Waltz, Tango, Foxtrot Smooth Dance Entries : F Fees Per Per Rhythm Dance Entries : Transfer to Accoun ng Summary Form Fri Day - Session 6 Amateur Under 21 - Pre-Novice - Pre-Novice - Novice - Pre-Championship - Senior Open - (35+) Masters Open - (51+) Fri Eve - Session 7 Open Am - Scholarship Sat Day - Session 8 Amateur Under 21 - Pre-Novice - Pre-Novice - Novice - Pre-Championship - Senior Open - (35+) Masters Open - (51+) Fri Eve - Session 7 Open Am - Scholarship info@ballroombeachbash Amateur Waltz, Tango Foxtrot, Quickstep Waltz, Foxtrot, Quickstep Waltz, Tango, Foxtrot, Quickstep Amateur Dance Entries : Amateur Cha Cha, Samba, Rumba, Paso Doble, ive Cha Cha, Samba Rumba, ive Cha Cha, Rumba, ive Cha Cha, Samba, Rumba, ive Cha Cha, Samba, Rumba, Paso Doble, ive Cha Cha, Samba, Rumba, Paso Doble, ive Cha Cha, Samba, Rumba, Paso Doble, ive Per Per Amateur Dance Entries : Phone: / Fax:

4 H Meal Packages (with Discount Entry fees) Please note: Only the VIP package includes session tickets Studio Name: Contact Name: Address: City, State: Phone: Hotel Rooms are not included in packages. Book your discounted rooms online through the link at BallroomBeachBash.com/pages/hotel/ Or call and reference Ballroom Beach Bash. VIP Package - You get Discounts on all meal packages (by 15% = 75) and - Souvenir Program (20) and - Front Table sea ng for all sessions Wed- Sat. It is the only package that includes Session Tickets. Name VIP Wed - Sat Breakfast & Dinner All Sessions Front Table Sea ng 560 Rhythm Day Smooth Day Ballroom Day La n Day Package Package Package Package Wednesday Thursday Friday Saturday Day Packages Do not include session ckets But do include:gourmet Breakfast and Dinner on that day at convenient mes plus best available sea ng. And - Adult Pro-Am Discounted Entry - 7 off every Single Dance off Championships, off Scholarship and - off Solo entry fee pricing. Is it economical to buy a package? Yes you save money if - you would spend - 30 on breakfast - on dinner (both including tax and tip) and dance 5 single dances and 1 Scholarship. Plus you save 7, 8, 10, or 25 on every additional entry. - info@ballroombeachbash - Phone: / Fax: H Form Package fees: Transfer to Accoun ng Summary Form

5 I Spectator Ticket & Meal Order Form Studio Name: Contact Name: Address: City, State: Phone: Spectator Session Tickets (Gen = General sea ng, Front = Front table) Gourmet Meals Date Tue 4th Wed 5th Thur 6th Fri 7th Sat 8th Wed 5th Thur 7th Fri 8th Sat 9th Day / Evening Session Eve Day Eve Day Eve Day Eve Day Eve S1 S2 S3 S4 S5 S6 S7 S8 S9 Bk'fast Dinner Bk'fast Dinner Bk'fast Dinner Bk'fast Dinner General Sea ng/ Front Table Gen Gen Gen Front Gen Gen Front Gen Gen Front Gen Gen Front Name Tickets fees: Gournet Meals fees: NewsFlash: General Entry Tickets are free for the session you compete in! General admission session tickets are now included in the entry fee for the sessions you compete in. If you are on a Day package you get priority seating for that days sessions as available on a first come first serve basis. I Fees Spectator Kids General Admission Tickets - 12 and under free tickets are 1/2 price - 18 and over tickets are full price Transfer to Accoun ng Summary Form info@ballroombeachbash Phone: / Fax:

6 K Credit Card Submi al form Studio Name : Name on Credit Card: Add: 4% Admin Fee: Billing Address: City: Credit Card Number: Please charge this Amount : County: State/Country: Expira on Date: / Visa and Mastercard only Zip/Postal Code: CVV: Visa: Mastercard: Phone Number: Cardholders Signature: Address: Notes: 3) Mail To: Ballroom Beach Bash 83 Sta on Village Ln. Unit 4320 San Diego CA (See Cancella ons/refund Policy sec on Rules and Regula ons sheet) info@ballroombeachbash Phone :

7 L Early Bird Release Form * If addi onal space is needed for more a endees signatures use an addi onal Release Form. Studio Name: Address: City, State: Phone: All persons a ending the Ballroom Beach Bash compe on must sign this release form By signing this Ballroom Beach Bash compe on Release Form you agree to the following: Rules All persons a ending this event, whether as a spectator, compe tor, studio employee or guest of the organizers, shall be bound by the rules of the Ballroom Beach Bash (h p:// and the Na onal Dance Council of America ( Photography and Video recording No photographing, videotaping or filming of The Ballroom Beach Bash compe on events will be allowed without prior wri en consent of the organizers. Image Rights The undersigned hereby irrevocably gives and grants to the Ballroom Beach Bash compe on, and Ballroom Beach Bash LLC, the right to use, his or her likeness and name in, publicity, promo ons, adver sing, the program by means of video recordings and/or s ll photography in any and all media formats, throughout the world without limita ons Loss or the Ballroom Beach Bash LLC, its associates, the Ballroom Beach Bash compe on, the Na onal Dance Council of America (NDCA), par cipa ng studios, a ending vendors and other affiliates are not liable or responsibility for any loss or the of ar cles le in changing rooms, ballroom, or hotel rooms. Injuries The undersigned being fully aware and recognizing the inherent risks associated with a ending this event and agrees to release and hold harmless Ballroom Beach Bash LLC, its affiliates and associates, the Ballroom Beach Bash compe on, and the Na onal Dance Council of America (NDCA) from any claims arising out of loss, sickness or injuries (including death) sustained by persons a ending this event, whether as a spectator, par cipant, compe tor, official, studio employee, or guest of the organizers and from all claim or causes of ac on by you, your personal representa ves, assigned heirs or next of kin. Hotel Charges The Ballroom Beach Bash compe on will not be liable for any personal charges made at the hotel not authorized by Ballroom Beach Bash LLC. All par cipants must pay their own personal charges, including, but not limited to phone charges, room service, etc. Print Name Signature (Of Guardian if a minor under 18) Date Ballroom Beach Bash. 83 Sta on Village Ln. Unit San Diego. CA Info@BallroomBeachBash.com. Phone: