2016 National High School Dance Festival

Point Park University, Pittsburgh, PA

CONCERT PROGRAM INFORMATION

This is preliminary information only. If pieces are chosen for performance, you will be asked to verify this and additional information.

Return this form in your Drop Box folder.

(Make sure it is in WORD. Do not convert to PDF).

DEADLINE to be received: DECEMBER 8, 2015

Mail all checks (for Adjudication fees) and any DVD submissions to:

Dr. Kathryn Kearns
Penn State University, Abington College
1600 Woodland Road
Abington, PA 19001

(See Adjudication Fees form)

Send DROP BOX submissions to

School Name: ______

School Address: ______

______

Teacher in Charge: ______

Email: ______

Phone: (______)______Fax: (______)______

Teacher’s personal email and phone number if different from above (*optional):

Email: ______Phone: (______)______

If a student work, please complete:

I verify that ______was choreographed by the named student.

(Name of dance work/s)

______

(Signature of teacher in charge – An electronic signature will suffice if sent from the same teacher’s email.)

Title of Dance 1: ______

Please indicate whether choreographer is * student * faculty * guest * reconstruction

Length: min: ______sec: ______

Name of Choreographer(s):______

Music composed by: ______

Music performed by: ______

Title of Music Selection: ______

List dancers in alphabetical order

Title of Dance 2: ______

Please indicate whether choreographer is * student * faculty * guest * reconstruction

Length: min: ______sec: ______

Name of Choreographer(s):______

Music composed by: ______

Music performed by: ______

Title of Music Selection: ______

List dancers in alphabetical order

Title of Dance 3: ______

Please indicate whether choreographer is * student * faculty * guest * reconstruction

Length: min: ______sec: ______

Name of Choreographer(s):______

Music composed by: ______

Music performed by: ______

Title of Music Selection: ______

List dancers in alphabetical order

Title of Dance 4: ______

Please indicate whether choreographer is * student * faculty * guest * reconstruction

Length: min: ______sec: ______

Name of Choreographer(s):______

Music composed by: ______

Music performed by: ______

Title of Music Selection: ______

Title of Dance 5: ______

Please indicate whether choreographer is * student * faculty * guest * reconstruction

Length: min: ______sec: ______

Name of Choreographer(s):______

Music composed by: ______

Music performed by: ______

Title of Music Selection: ______

List dancers in alphabetical order