CODC-Pro-Am-Entry-Forms 2015 - Calgary Open Dance Competition
Calgary Open Dance Competition Red & White Club – May 9, 2015 Entry Due: April 20, 2015 Recognized by CDF & DSAB PAGE 1 - Pro-Am & Student/Student Single Dance (Closed Syllabus Group Flights) (Use one form per student – Students may enter up to two levels and two age categories) (Competitors may compete in two (2) group flight levels, their level & one level higher) First Age Category 11 years and under (JV) 12 – 17 years (JN) (Please Select One) 18 – 34 Years (A1) 35 – 44 Years (A2) 45 – 55 Years (B1) 56 – 65 Years (B2) International Style Group Flights (Closed Syllabus) American Style Group Flights (Closed Syllabus) (Please circle the dances you wish to enter for your first age category) (Please circle the dances you wish to enter for your first age category) Level Standard Newcomer Pre-Bronze Bronze Silver Gold Pre-Champ Championship W W W W W W W T T T T T T T VW VW VW VW VW VW VW Latin F F F F F F F Q Q Q Q Q Q Q S S S S S S S C C C C C C C R R R R R R R Level P P P P P P P W W W W W W W W W W T T T T T T T T T T F F F F F F F F F F VW VW VW VW VW VW VW VW VW VW Rhythm Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold NCS NCS NCS NCS [Box A] Closed Syllabus Group Flight Pricing (Prices include GST): Total Group Flight Entries ______ x $30.00 (or $25.00*) = $______ (If JV. or JN. ______ x $20.00 (or $15.00*) = $______) *Discounted price for 10 or more group flight entries Country & Western Group Flights (Closed Syllabus) Level Smooth J J J J J J J (Please circle the dances you wish to enter for your first age category) CC CC CC CC CC CC CC CC CC CC R R R R R R R R R R SW SW SW SW SW SW SW SW SW SW B B B B B B B B B B MB MB MB MB MB MB MB MB MB MB SB SB SB SB SB SB SB SB SB SB WCS WCS WCS WCS WCS WCS WCS WCS WCS WCS HS HS HS HS HS HS HS HS HS HS MRG MRG MRG MRG MRG MRG MRG MRG MRG MRG HS HS HS HS HS HS HS HS HS HS MRG MRG MRG MRG MRG MRG MRG MRG MRG MRG Dance Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) 2ST 2ST 2ST 2ST W W W W CC CC CC CC WCS WCS WCS WCS Second Age Category ECS ECS ECS ECS DSH DSH DSH DSH PLK PLK PLK PLK 11 years and under (JV) 12 – 17 years (JN) (Please Select One) 18 – 34 Years (A1) 35 – 44 Years (A2) 45 – 55 Years (B1) 56 – 65 Years (B2) 66 – 75 Years (C1) 76 and over (C2) International Style Group Flights (Closed Syllabus) American Style Group Flights (Closed Syllabus) (Please circle the dances you wish to enter for your first age category) (Please circle the dances you wish to enter for your first age category) Level Standard Newcomer Pre-Bronze Bronze Silver Gold Pre-Champ Championship W W W W W W W T T T T T T T VW VW VW VW VW VW VW F F F F F F F Latin Q Q Q Q Q Q Q S S S S S S S C C C C C C C R R R R R R R Level P P P P P P P W W W W W W W W W W T T T T T T T T T T F F F F F F F F F F VW VW VW VW VW VW VW VW VW VW Rhythm Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold NCS NCS NCS NCS [Box B] Closed Syllabus Group Flight Pricing (Prices include GST): Total Group Flight Entries ______ x $30.00 (or $25.00*) = $______ (If JV. or JN. ______ x $20.00 (or $15.00*) = $______) *Discounted price for 10 or more group flight entries Country & Western Group Flights (Closed Syllabus) Level Smooth J J J J J J J (Please circle the dances you wish to enter for your first age category) CC CC CC CC CC CC CC CC CC CC R R R R R R R R R R SW SW SW SW SW SW SW SW SW SW B B B B B B B B B B MB MB MB MB MB MB MB MB MB MB SB SB SB SB SB SB SB SB SB SB WCS WCS WCS WCS WCS WCS WCS WCS WCS WCS Dance Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) 2ST 2ST 2ST 2ST W W W W CC CC CC CC WCS WCS WCS WCS ECS ECS ECS ECS DSH DSH DSH DSH PLK PLK PLK PLK MALE COMPETITOR’S NAME DSAB REG NO. FEMALE COMPETITOR’S NAME INSTRUCTOR CDF REG NO. DANCE STUDIO ADDRESS CITY 66 – 75 Years (C1) 76 and over (C2) PROVINCE DSAB REG NO. HOME PHONE BUSINESS PHONE POSTAL CODE EMAIL ADDRESS CLOSING DATE for entries: April 20, 2015 (Registrations after this deadline may be accepted at the discretion of the organizer and are subject to a $30 late fee) Calgary Open Dance Competition Red & White Club – May 9, 2015 Entry Due: April 20, 2015 Recognized by CDF & DSAB PAGE 2 - Pro-Am & Student/Student Single Dance (Open Syllabus Group Flights) (Use one form per student – Students may enter up to two levels and two age categories) (Competitors may compete in two (2) group flight levels, their level & one level higher) First Age Category 11 years and under (JV) 12 – 17 years (JN) (Please Select One) 18 – 34 Years (A1) 35 – 44 Years (A2) 45 – 55 Years (B1) 56 – 65 Years (B2) International Style Group Flights (Closed Syllabus) American Style Group Flights (Closed Syllabus) (Please circle the dances you wish to enter for your first age category) (Please circle the dances you wish to enter for your first age category) Level Standard Newcomer Pre-Bronze Bronze Silver Gold Pre-Champ Championship W W W W W W W T T T T T T T VW VW VW VW VW VW VW Latin F F F F F F F Q Q Q Q Q Q Q S S S S S S S C C C C C C C R R R R R R R Level P P P P P P P W W W W W W W W W W T T T T T T T T T T F F F F F F F F F F VW VW VW VW VW VW VW VW VW VW Rhythm Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold NCS NCS NCS NCS [Box C] Closed Syllabus Group Flight Pricing (Prices include GST): Total Group Flight Entries ______ x $30.00 (or $25.00*) = $______ (If JV. or JN. ______ x $20.00 (or $15.00*) = $______) *Discounted price for 10 or more group flight entries Country & Western Group Flights (Closed Syllabus) Level Smooth J J J J J J J (Please circle the dances you wish to enter for your first age category) CC CC CC CC CC CC CC CC CC CC R R R R R R R R R R SW SW SW SW SW SW SW SW SW SW B B B B B B B B B B MB MB MB MB MB MB MB MB MB MB SB SB SB SB SB SB SB SB SB SB WCS WCS WCS WCS WCS WCS WCS WCS WCS WCS HS HS HS HS HS HS HS HS HS HS MRG MRG MRG MRG MRG MRG MRG MRG MRG MRG HS HS HS HS HS HS HS HS HS HS MRG MRG MRG MRG MRG MRG MRG MRG MRG MRG Dance Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) 2ST 2ST 2ST 2ST W W W W CC CC CC CC WCS WCS WCS WCS Second Age Category ECS ECS ECS ECS DSH DSH DSH DSH PLK PLK PLK PLK 11 years and under (JV) 12 – 17 years (JN) (Please Select One) 18 – 34 Years (A1) 35 – 44 Years (A2) 45 – 55 Years (B1) 56 – 65 Years (B2) 66 – 75 Years (C1) 76 and over (C2) International Style Group Flights (Closed Syllabus) American Style Group Flights (Closed Syllabus) (Please circle the dances you wish to enter for your first age category) (Please circle the dances you wish to enter for your first age category) Level Standard Newcomer Pre-Bronze Bronze Silver Gold Pre-Champ Championship W W W W W W W T T T T T T T VW VW VW VW VW VW VW F F F F F F F Latin Q Q Q Q Q Q Q S S S S S S S C C C C C C C R R R R R R R Level P P P P P P P W W W W W W W W W W T T T T T T T T T T F F F F F F F F F F VW VW VW VW VW VW VW VW VW VW Rhythm Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold NCS NCS NCS NCS [Box D] Closed Syllabus Group Flight Pricing (Prices include GST): Total Group Flight Entries ______ x $30.00 (or $25.00*) = $______ (If JV. or JN. ______ x $20.00 (or $15.00*) = $______) *Discounted price for 10 or more group flight entries Country & Western Group Flights (Closed Syllabus) Level Smooth J J J J J J J (Please circle the dances you wish to enter for your first age category) CC CC CC CC CC CC CC CC CC CC R R R R R R R R R R SW SW SW SW SW SW SW SW SW SW B B B B B B B B B B MB MB MB MB MB MB MB MB MB MB SB SB SB SB SB SB SB SB SB SB WCS WCS WCS WCS WCS WCS WCS WCS WCS WCS Dance Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) 2ST 2ST 2ST 2ST W W W W CC CC CC CC WCS WCS WCS WCS ECS ECS ECS ECS DSH DSH DSH DSH PLK PLK PLK PLK MALE COMPETITOR’S NAME DSAB REG NO. FEMALE COMPETITOR’S NAME INSTRUCTOR CDF REG NO. DANCE STUDIO ADDRESS CITY 66 – 75 Years (C1) 76 and over (C2) PROVINCE DSAB REG NO. HOME PHONE BUSINESS PHONE POSTAL CODE EMAIL ADDRESS CLOSING DATE for entries: April 20, 2015 (Registrations after this deadline may be accepted at the discretion of the organizer and are subject to a $30 late fee) Calgary Open Dance Competition Red & White Club – May 9, 2015 Entry Due: April 20, 2015 Recognized by CDF & DSAB PAGE 3a - Pro-Am & Student/Student Solo Routine Entries (Please use one form per student – Music not to exceed 2½ Minutes) International Style Solo Routines American Style Solo Routines (Please circle the dances you wish to enter) (Please circle the dances you wish to enter) Level Standard Newcomer Pre-Bronze Bronze Silver Gold Pre-Champ Championship W W W W W W W T T T T T T T VW VW VW VW VW VW VW F F F F F F F Latin Q Q Q Q Q Q Q S S S S S S S C C C C C C C R R R R R R R Level P P P P P P P J J J J J J J Country & Western Solo Routines (Please circle the dances you wish to enter) Level Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) 2ST 2ST 2ST 2ST W W W W CC CC CC CC Dance WCS ECS WCS ECS WCS ECS WCS ECS DSH DSH DSH DSH PLK PLK PLK PLK NCS NCS NCS NCS Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold Smooth W W W W W W W W W W T T T T T T T T T T F F F F F F F F F F VW VW VW VW VW VW VW VW VW VW Rhythm CC CC CC CC CC CC CC CC CC CC R R R R R R R R R R SW SW SW SW SW SW SW SW SW SW B B B B B B B B B B MB MB MB MB MB MB MB MB MB MB SB SB SB SB SB SB SB SB SB SB WCS WCS WCS WCS WCS WCS WCS WCS WCS WCS HS HS HS HS HS HS HS HS HS HS MRG MRG MRG MRG MRG MRG MRG MRG MRG MRG [Box E] Solo Routine Pricing (Prices include GST): Total Solo Routine Entries ______ x $45.00 = $______ (If Under 18 ______ x $35.00 = $______) PAGE 3b - Pro-Am & Student/Student Multi-Dance Entries (Please use one form per student – Students may enter up to two levels) Age Category (Please Select One) Level Under 18 18 – 34 Years 35 – 49 Years International Style Multi-Dance American Style Multi-Dance (Please select the Multi-Dance categories you wish to enter) (Please select the Multi-Dance categories you wish to enter) Standard Newcomer Pre-Bronze Bronze Silver Gold Latin Waltz, Quickstep Waltz, Quickstep Waltz, Tango, Quickstep Waltz, Tango, Quickstep Waltz, Tango, Quickstep Level Cha Cha, Jive Cha Cha, Jive Cha Cha, Rumba, Jive Cha Cha, Rumba, Jive Cha Cha, Rumba, Jive Country & Western Multi-Dance (Please select the Multi-Dance categories you wish to enter) Level Country Newcomer (D4) Novice (D3) Intermediate (D2) Advanced (D1) Two Step, WC Swing Two Step, Waltz, WC Swing Two Step, Waltz WC Swing Two Step, Waltz, WC Swing Newcomer Int. Bronze (Pre) Full Bronze Open Bronze Int. Silver (Pre) Full Silver Open Silver Int. Gold (Pre) Full Gold Open Gold Smooth FEMALE COMPETITOR’S NAME INSTRUCTOR CDF REG NO. DANCE STUDIO PROVINCE Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing [Box F] Multi-Dance Pricing (Prices include GST): Total Multi-Dance Entries ______ x $40.00 = $______ (If Under 18 ______ x $30.00 = $______) DSAB REG NO. ADDRESS Rhythm Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango MALE COMPETITOR’S NAME CITY 50 & Over DSAB REG NO. HOME PHONE BUSINESS PHONE POSTAL CODE EMAIL ADDRESS CLOSING DATE for entries: April 20, 2015 (Registrations after this deadline may be accepted at the discretion of the organizer and are subject to a $30 late fee) Calgary Open Dance Competition Red & White Club – May 9, 2015 Entry Due: April 20, 2015 Recognized by CDF & DSAB PAGE 4a - Pro-Am & Student/Student Open Multi-Dance Entries Age Category (Please Select One) Under 18 Over 18 International Style Open Multi-Dance American Style Open Multi-Dance (Please select the Open Multi-Dance categories you wish to enter) (Please select the Open Multi-Dance categories you wish to enter) Open Multi-Dance Category Newcomer to Bronze Standard Silver to Gold Standard Newcomer to Bronze Latin Silver to Gold Latin Dances Open Multi-Dance Category Waltz, Tango, Quickstep Waltz, Tango, Quickstep Cha Cha, Rumba, Jive Cha Cha, Rumba, Jive Country & Western Open Multi-Dance (Please select the Country & Western category you wish to enter D4 D3 D2 D1) Newcomer to Advanced Dances Newcomer to Bronze Smooth Silver to Gold Smooth Newcomer to Bronze Rhythm Silver to Gold Rhythm Two Step, Waltz, WC Swing Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing [Box G] Open Multi-Dance Pricing (Prices include GST): Total Open Multi-Dance Entries ______ x $40.00 = $______ (If Under 18 ______ x $30.00 = $______) PAGE 4b - Pro-Am & Student/Student Scholarship Entries Age Category (Please Select One) Under 18 Over 18 International Style Scholarship Competitions American Style Scholarship Competitions (Please select the Scholarship categories you wish to enter) (Please select the Open Multi-Dance categories you wish to enter) Scholarship Category Newcomer to Bronze Standard Silver to Gold Standard Newcomer to Bronze Latin Silver to Gold Latin Dances Scholarship Category Waltz, Tango, Quickstep Waltz, Tango, Quickstep Cha Cha, Rumba, Jive Cha Cha, Rumba, Jive Country & Western Open Multi-Dance (Please select the Country & Western category you wish to enter D4 D3 D2 D1) Newcomer to Advanced Dance Newcomer to Bronze Smooth Silver to Gold Smooth Newcomer to Bronze Rhythm Silver to Gold Rhythm Two Step, Waltz, WC Swing Waltz, Foxtrot, Tango Waltz, Foxtrot, Tango Cha Cha, Rumba, Swing Cha Cha, Rumba, Swing [Box H] Scholarship Competition Pricing (Prices include GST): Total Scholarship Competition Entries ______ x $50.00 = $______ (If Under 18 ______ x $45.00 = $______) Accounting Summary (Please calculate subtotals on each page in boxes A, B, C, D, E, F, G, and H) Box A Box B Box C Box D Box E Box F Box G Box H Cost Summary Page 1 - Closed Syllabus Group Flights – First Age Category Page 1 - Closed Syllabus Group Flights – Second Age Category Page 2 - Open Syllabus Group Flights – First Age Category Page 2 - Open Syllabus Group Flights – Second Age Category Page 3a - Solo Routine Entries Page 3b - Multi-Dance Entries Page 4a - Open Multi-Dance Entries Page 4b - Scholarship Competition Entries Saturday Daytime Pass ($20/person x QTY) *Not required for competitor with a Saturday Evening Ticket. Amount Method of Payment: DEBIT VISA CHEQUE CASH Credit Card Number: Expiry Date: MASTERCARD CVV: Name on Card: Signature: Total of Passes and Entry Fees: MALE COMPETITOR’S NAME DSAB REG NO. FEMALE COMPETITOR’S NAME INSTRUCTOR CDF REG NO. DANCE STUDIO ADDRESS CITY PROVINCE DSAB REG NO. HOME PHONE BUSINESS PHONE POSTAL CODE EMAIL ADDRESS CLOSING DATE for entries: April 20, 2015 (Registrations after this deadline may be accepted at the discretion of the organizer and are subject to a $30 late fee)
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