NEW YORK STATE DANCE CHALLENGE INC.
2018 OFFICIAL ENTRY FORM
*PLEASE PRINT & COMPLETE ALL AREAS OF THE ENTRY FORM *USE A SEPARATE FORM FOR EACH ENTRY
*PLEASE DUPLICATE THIS FORM IF MORE FORMS ARE NEEDED
PLEASE PRINT REGISTRATION INFORMATION ENTRY FEES
*Entries are accepted on a first come basis. Scheduling & Performance
time requests will not be accepted. All entry fees are to be $ For Each Solo/Please call for pricing
paid in full with this form & are non-refundable. $ Per Competitor for Duo/Trio/Please call for pricing
$ Per Competitor for Small Group/Pease call for pricing
$ Per Competitor for Large Group/Please call for pricing
$ Per Competitor for Line/Production/Please call for pricing
_____________________________________________ $ Per Competitor for Grand Line/Production (40 or more performers)/Please call for pricing
Studio Name $ Per Routine for Costume Entry/Top Costume Award/Please call for pricing
_______________________________________________ TOTAL ENTRY FEE ENCLOSED FOR THIS ENTRY $_________________
Studio Director & Tee-Shirt Size NAME OF MUSIC OR ROUTINE __________________________
_______________________________________________________________________________
Studio Teacher’s & Tee-Shirt Sizes
_______________________________________________ ________________________________ ____________________
Studio Address City Zip Code
_______________________________________________ ________________________________ ____________________
Studio Phone Number Studio Fax Cellular Number
_______________________________________________ Please Circle Category to be Entered:
Studio Email Address ACRO/GYMNASTICS JAZZ LINE/PRODUCTION (20-39 Performers)
VENUE LOCATION: BALLET LYRICAL SONG & DANCE
______ (ROCHESTER) ______ (NIAGARA FALLS) _______ (BINGHAMTON) CHARACTER MODERN TAP
Please circle one of the following: CONTEMPORARY MUSICAL THEATRE
CHALLENGER CLASSIFICATION (3 HOURS OR LESS OF DANCE INSTRUCTION PER WEEK) DANCE TEAM OPEN
HIGH CHALLENGER CLASSIFICATION (4-5 HOURS OF DANCE INSTRUCTION PER WEEK) ETHNIC/FOLKLORIC PARENT CATEGORY
TOP CHALLENGER CLASSIFICATION (6 HOURS OR MORE OF DANCE INSTRUCTION PER WEEK) HIPHOP POINTE
ALL MALE GROUP GRAND LINE/PRODUCTION (40+ PERFORMERS)
CONT. ON NEXT PAGE…………………… ADULT CATEGORY
INCENTIVES LISTED BELOW FOR OUR 2018 REGIONAL CITIES
ROCHESTER NY
TAKE ADVANTAGE OF PAYING YOUR
ENTRY FEES BY FEBRUARY 12TH 2018
AND SAVE 15% OFF YOUR TOTAL ENTRY FEES!!
IF ENTRY FEES ARE PAID BY MARCH 9TH 2018
SAVE 10% OFF YOUR TOTAL ENTRY FEES!!
(ENTRY FEES MUST TOTAL $1500.00 OR MORE TO QUALIFY FOR THE 10% AND 15% REBATE)
NIAGARA FALLS NY
TAKE ADVANTAGE OF PAYING YOUR
ENTRY FEES BY FEBRUARY 26TH 2018
AND SAVE 15% OFF YOUR TOTAL ENTRY FEES!!
IF ENTRY FEES ARE PAID BY MARCH 23RD 2018
SAVE 10% OFF YOUR TOTAL ENTRY FEES!!
(ENTRY FEES MUST TOTAL $1500.00 OR MORE TO QUALIFY FOR THE 10% AND 15% REBATE)
BINGHAMTON NY
TAKE ADVANTAGE OF PAYING YOUR
ENTRY FEES BY MARCH 20TH 2018
AND SAVE 15% OFF YOUR TOTAL ENTRY FEES!!
IF ENTRY FEES ARE PAID BY APRIL 14TH 2018
SAVE 10% OFF YOUR TOTAL ENTRY FEES!!
(ENTRY FEES MUST TOTAL $1500.00 OR MORE TO QUALIFY FOR THE 10% AND 15% REBATE)
PAYMENT OPTIONS
If paying by cashier’s check or money order, please mail this form &
entry forms to the address below. If paying by credit card, please fill out the following information and mail to the address below.
___VISA ___ MASTERCARD ___AMERICAN EXPRESS ___DISCOVER
CARD NUMBER ______________________
EXPIRATION ______/_______
SIGNATURE OF CARD HOLDER________________________
PLEASE MAKE CASHIER’S CHECKS & MONEY ORDERS ARE MADE PAYABLE TO NEW YORK STATE DANCE CHALLENGE INC.
ALL ENTRIES MUST BE POSTMARKED 30 DAYS BEFORE COMPETITION
DATE
MAIL ALL ENTRY FORMS ALONG WITH PAYMENT TO:
NEW YORK STATE DANCE CHALLENGE INC.
P.O. BOX 195 HORNELL, NY 14843
PHONE: 1-877-456-9732
www.nysdancechallenge.com