Dance Individuals Registration Form

DIAMOND CHEER & DANCE

DANCE INDIVIDUALS REGISTRATION FORM:

Name of Team:______Name of contact person: ______

Name of Gym, School or Organization:______Team Colors: ______

Address:______City:______

State:______Zip:______E-mail address: ______

Telephone Numbers: Day: ______Evening:______Cell:______

Location of Event:______Date of Event:______

All-Star/Studio School or Rec Teams-Age as of May 31, 2007
(Circle Division) / Names
Tiny-5 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Mini-8 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Youth Prep-9 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Youth-11 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Junior-14 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Senior Prep-16 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Senior-18 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Open-18 years & above-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Tiny-5 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Mini-8 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Youth Prep-9 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Youth-11 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Junior-14 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Senior Prep-16 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Senior-18 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Duos-Open-18 years & above-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Tiny-5 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Mini-8 years & below- (Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Youth Prep-9 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Youth-11 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Junior-14 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Senior Prep-16 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Senior-18 years & below-(Jazz, Hip Hop, Pom, Lyrical, Variety)
Trios-Open-18 years & above-(Jazz, Hip Hop, Pom, Lyrical, Variety)

Total Individual Members ______x $69.95$______

Total Additional Divisions ______x $35.00$______

Total Individual Members ______x $35.00 AnnualPass$______

Total Coaches ______x $31.95 (2)$______

Total Coaches ______x $10.00 w/Annual Pass$______

Additional Coaches ______x $46.95$______

Total Due: $______