2019 Phoenix DanceSport Challenge TEACHER/STUDENT REGISTRATION FORM Please Print Legibly Teacher: School/Studio: (No USA Dance membership required) Student: Birth Year: USA Dance# (active status req): School ID #: Address: City: Address: City: State: Zip: State: Zip: Email: Phone #: Email: Phone #: SIGNATURES: Teacher Signature Student Signature (or parent/guardian if under 18) Neither the Organizers, USA Dance Inc, the City of Glendale, nor Arizona Board of Regents, Arizona State University, the State of Arizona and their officers, regents, agents and employees are responsible for the loss or theft of personal property left on premises during this event. The Organizers/City/Facility are not held liable for any injury sustained by persons attending or participating in the event they do so at their own risk. Photography will take place throughout the competition. Above signature releases the Phoenix USA Dance Chapter to use the photos for advertising, marketing and other business related purposes. DANCE KEY: B = Bolero CC = Cha Cha FT = Foxtrot J = Jive M = Mambo PD = Paso Doble QS = Quickstep R = Rumba SA = Samba SW = Swing T = Tango W = Waltz VW = Viennese Waltz 14
TEACHER: STUDENT: TEACHER/STUDENT CLOSED SYLLABUS & MULTI DANCE ENTRIES AMERICAN Rhythm and Smooth Please indicate (X) the desired dances and age category(ies) per proficiency: American Rhythm Syllabus Single Dances (Closed) CC R SW B M PT/Jr/Yth Adult Sr TWO consecutive rule applies for multi-dances. / SW Syllabus Gold (Closed) 4 Dance / SW / B Open Championship (Silver and above) / SW / B / M American Smooth Syllabus Single Dances (Closed) W T FT VW PT/Jr/Yth Adult Sr Two consecutive level rule applies to multi-dances. W / T FT W / T / FT Syllabus Gold (Closed) 4 Dance W / T / FT / VW Open Championship (Silver and above) W / T / FT / VW 15
Teacher Name: Student Name: TEACHER/STUDENT CLOSED SYLLABUS & MULTI DANCE ENTRIES INTERNATIONAL Latin and Standard Please indicate (X) the desired dances and age category(ies) per proficiency: International Latin Syllabus Single Dances (Closed) SA CC R PD J PT/Jr/Yth Adult Sr TWO consecutive level rule applies to multi-dances Syllabus Gold (Closed) - 4 Dance Open Championship (Silver and above) SA / SA / / J SA / / PD / J International Standard THREE consecutive level rule applies to syllabus single dances Syllabus Single Dances (Closed) W T VW FT QS PT/Jr/Yth Adult Sr TWO consecutive level rule applies for multi-dances. Syllabus Gold (Closed) 4 Dance Open Championship (Silver and above) W / QS FT W / FT / QS W / T / FT / QS W / T / VW / FT / QS 16
Teacher Name: Student Name: TEACHER / STUDENT SCHOLARSHIP ENTRIES Competitors may enter ONE age category per dance style. Consecutive Two Level rule applies. Please indicate(x) the desired age category and Level: American Rhythm Scholarship PT/Jr/Yth Adult/Sr. /Bronze - 2 Dance OPEN Championship 5 Dance / SW / SW / B / M American Smooth Scholarship PT/Jr/Yth Adult/Sr. /Bronze - 2 Dance OPEN Championship 4 Dance W / FT W / T / FT W / T / FT / VW International Latin Scholarship PT/Jr/Yth Adult/Sr. /Bronze - 2 Dance OPEN Championship - 5 Dance SA / SA / / PD / J International Standard Scholarship PT/Jr/Yth Adult/Sr. /Bronze - 2 Dance OPEN Championship 5 Dance All Gold and Open categories eligible W / QS W / FT / QS W / T / VW / FT / QS 17
Teacher Name: Student Name: TEACHER/STUDENT SOCIAL DANCE ENTRIES Social Dance Events are open to all levels of dancers, without proficiency or age restriction. The first 25 couples who register (per dance) will be allowed entry Additional couples who register beyond that point will be allowed entry at the discretion of the registrar You may enter as many of the social dance categories as you desire (pending open slots). Please mark your dance choices (X) below: Social Dances Merengue Hustle Nightclub Twostep Salsa West Coast Swing Bachata Argentine Tango Teacher / Student 18