Pro/Am American Entry Form

* 2015 Atlantic DanceSport Challenge *
Pro/Am & Student/Student American Entry Form
Dances for each division are as follows:
A – Newcomer
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
B – Pre-Bronze
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
C – Int Bronze 1
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
D – Int Bronze 2
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
E – Full Bronze
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
F – Pre-Silver
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
G – Int Silver 1
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
H – Int Silver 2
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
J – Full Silver
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
K – Pre-Gold
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
L – Int Gold
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
M – Full Gold
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
N – Open Bronze * Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
O – Open Silver * Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
P – Open Gold * Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
Q – Gold Star I
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
R – Gold Star 2
Waltz, Tango, Foxtrot, V W, Peabody, Arg T, Cha-cha, Rumba, Swing, Bolero, Mambo, Mer, Hustle, Salsa, WCS, Samba, Paso Doble
S – Closed Bronze 3-Dance Challenge (A, B or C) *
Waltz/Tango/Foxtrot, Cha-cha/Rumba/Swing
T – Closed Silver 4-Dance Challenge (A, B or C) *
Waltz/Tango/Foxtrot/V Waltz, Cha-cha/Rumba/Swing/Bolero
U – Closed Bronze 3-Dance Scholarship (A, B, or C) *
Waltz/Tango/Foxtrot, Cha-cha/Rumba/Swing
V – Closed Silver 4-Dance Scholarship (A, B or C) *
Waltz/Tango/Foxtrot/V Waltz, Cha-cha/Rumba/Swing/Bolero
W – Open Youth 4-Dance Challenge (Ages 12-18) *
Waltz/Tango/Foxtrot/V Waltz, Cha-cha/Rumba/Swing/Mambo
X – Open Senior I 3-Dance Challenge (Ages 61-70) *
Waltz/Tango/Foxtrot, Cha-cha/Rumba/Swing
Y – Open Senior 2 3-Dance Challenge (Ages 71+) *
Waltz/Tango/Foxtrot, Cha-cha/Rumba/Swing
Z - Open 4/5-Dance Challenge (A, B, or C) *
Waltz/Tango/Foxtrot/V Waltz, Cha-cha/Rumba/Swing/Bolero/Mambo
AA – Open 4/5-Dance Scholarship (A, B or C) *
Waltz/Tango/Foxtrot/V Waltz, Cha-cha/Rumba/Swing/Bolero/Mambo
Ages:
Pre-Teen (0-11)
Junior 1 (12-13)
Junior 2 (14-15)
Youth (16-18)
A1 (19-35)
A2 (36-50)
B1 (51-60)
B2 (61-70)
C1 (71-80)
C2 (81+)
Other: * Dancers must enter the same single dances in the same style in order to enter multi-dance events.
* Multi-dance age categories: A (19-35) B (36-50) C (51+)
* Ladies and gentlemen will be combined for all open single dances and all multi-dance events.
Professional (or S/S Man)
NDCA#
Studio
Phone #
Email
Address
City
Student (S/S Lady)
State
Division
Age
M/F
W
T
F
VW
PE
AT
CC
Zip Code
R
(continued next page)
SW
B
MA
ME
H
SAL
WCS
SAM
PD
* 2015 Atlantic DanceSport Challenge *
Pro/Am & Student/Student American Entry Form
Professional
Student
Single Entries @ $
($35 Non-Package Holders, $30 Package A-D Holders,
$20 Youth, $10 Pre-Teen & Junior)
=
$
3-Dance Events @ $
($65 Non-Package Holders, $55 Package Holders)
=
$
4-Dance Events @ $
($85 Non-Package Holders, $75 Package Holders)
=
$
5-Dance Events @ $
($105 Non-Package Holders, $95 Package Holders)
=
$
9-Dance Event @ $
($125 Non-Package Holders, $115 Package Holders)
=
$
=
$
TOTAL
All persons attending the Atlantic DanceSport Challenge (spectators, competitors, officials, staff, guests, etc.) shall be bound by the rules and
regulations of the National Dance Council of America (NDCA) and Atlantic DanceSport Challenge. The organizers, NDCA and hotel can accept no
responsibility for loss or theft of articles left in the changing rooms, ballroom, guest rooms or hotel. Neither can they be held liable for injury sustained
by persons attending the Atlantic DanceSport Challenge. Everyone does so at his or her own risk and expressly and irrevocably waves any claim or
claims arising from any loss or injury incurred at this event. In addition, this event may be photographed and recorded by television, video,
photography or other method. All persons attending this event, by their presence, may be photographed, videotaped or broadcasted and waive any
claim related to the use of their image, their rights of any copyright, privacy or publicity and consent to the use, exhibition, transmission, distribution or
sale of such images by Atlantic DanceSport Challenge, its organizers, employees, vendors and representatives in any type of media throughout the
world without limitations.
Signature (Guardian, if Minor)
Printed Name
Date
* Deadline: June 1, 2015 *
Please send complete entries (entry form, waiver, accounting form & check or money order payable to Atlantic Ballroom) to: Atlantic
Ballroom, 1914 Haverhill Road, Baltimore, Maryland 21234. Telephone (410) 825-5483. FAX (410) 665-4252. Entries will not be
processed without payment in full. Incomplete entries or entries received after June 1, 2015 will be accepted at the discretion of the
organizers if space & time permit. Please see Rules & Regulations for cancellation and refund policies.