Application - Ensemble Form
Regulation & Release Agreement
Entry - School Independent Age Divisions: age as of 1/1/2012(average age. round down. Ex 11.8 - will compete in primary division) Primary (7-11 years old) Junior (12-14 years old) Senior (15-21 years old) Ballet School Information: Name Phone School Address: Street City State Zip
Age Divisions: age as of 1/1/2012(average age. round down. Ex 11.8 - will compete in primary division)
Primary (7-11 years old)
Junior (12-14 years old)
Senior (15-21 years old)
Ballet School Information:
Name
Phone
School Address:
Street City State Zip
Email (required)
School Director
Entry Information: (check type of ensemble registering)
Pas de Deux
Entry Title
Choreographer / Coach
Running Time
Performing Coda Yes or No
Non - Competing Partner Yes or No Name of non-compete partner
Ensemble (4-7 dancers)
Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age
Ensemble (8 + dancers)
Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age Dancer Name Age
