|
Routine Name ______________________________________________________
Prop: _______________________________________________________________
|
List of Competitors in Routine
|
| # |
Name |
Birthdate |
Age |
|
# |
Name |
Birthdate |
Age |
| 1 |
|
|
|
|
11 |
|
|
|
| 2 |
|
|
|
|
12 |
|
|
|
| 3 |
|
|
|
|
13 |
|
|
|
| 4 |
|
|
|
|
14 |
|
|
|
| 5 |
|
|
|
|
15 |
|
|
|
| 6 |
|
|
|
|
16 |
|
|
|
| 7 |
|
|
|
|
17 |
|
|
|
| 8 |
|
|
|
|
18 |
|
|
|
| 9 |
|
|
|
|
19 |
|
|
|
| 10 |
|
|
|
|
20 |
|
|
|
| (Continue on back if necessary) |
| |
|
|
|
|
| Number of competitors in this routine |
__________
|
@ $___________
|
=
|
$___________
|
Dance
Masters of California, Inc. , its Board of Directors, the Santa Clara
Convention Center, or the Hyatt Hotel are not responsible for any loss
or damage during this competition.
I
give Dance Masters of California, Inc. permission to use the name, likeness,
or photograph of myself or any of my students participating in this competition
in any Dance Masters Publications.
| Studio Name_________________________________________________________________ |
| Teacher of Record_____________________________________________________________ |
| Choreographer________________________________________________________________ |
| Teacher of Recognition (optional) _________________________________________________ |
| Teacher of Record (sponsor member) signature_______________________________________ |
| Date: ____________ |
Daytime Phone: _______________ |
Fax Phone: ________________ |
|