STAR OF THE 21st CENTURY 2013 (ROUND 2) REGISTRATION FORM

*Only complete BELOW form(s) if you received a confirmation email inviting you to ROUND 2 (OR) if you see your name under RESULTS (on the website).

Mail your completed registration form and money order by: JANUARY 10, 2014

Please complete a separate registration form for each solo applicant/ensemble/pas de deux couple. Duplicate this entry form as needed.

Send Registration Form and Money order to:

Cashier check must be made to: Stars of the 21st Century – Panama , S.A.

Address:

Instituto Nacional de Cultura , INAC

Las Bóvedas Plaza de Francia

Oficina No. 202 ( Cooperación Internacional )

Below are 3 separate registration forms, please complete the correct one:

  • Solo/Variation registration form
  • Pas de Deux registration form (complete one form per couple)
  • Ensemble registration form (complete one form per dance)

*Please note, if you are performing SOLO & ENSEMBLE (OR) SOLO & PAS DE DEUX you do not pay for the Workshop & Gala tickets twice.

STAR OF THE 21st CENTURY 2014 (ROUND 2) REGISTRATION FORM

SOLO (OR) VARIATION- PLEASE PRINT CLEARLY

Please note: There is no fee for participants who are selected for Round 3

PARTICIPANT INFORMATION

Participant’s Name______Birth Date______

Age (as of February 1, 2014) ______GENDER: Male Female Height______Weight______

How many years have you been dancing? ______Address ______

City______Country______Zip______

Phone/Cell______E-mail______

SCHOOL INFORMATION

Dance School______

Director of School ______

Address______

City______Country ______Zip ______

Phone/Fax # ______E-mail ______

AGE CATEGORIES
Professional (19-25 years old)
Senior (15-18 years old) / Junior (12-14 years old)
Pre-competitive (9-11 years old)
FEES

PER SOLO or VARIATION (ROUND 2) Please fill out according to the order you will perform on stage.

You must perform the pieces you fill out below

1st Classical Variation Entry Title______

Running Time______min Choreographer/Teacher______

……………………………………………………………………………………………………………………………$70 USD

2nd Classical Variation Entry Title______

Running Time______min Choreographer/Teacher______

…………………………………………………………………………………………………………………………….$70 USD

Contemporary Variation Entry Title______

Running Time______min Choreographer/Teacher______

…………………………………………………………………………………………………………………………….$70 USD

MANDATORY WORKSHOP…………………………………………………………………………………………...$85 USD

1 X GALA TICKET……………………………………………………………………………………………………… $20 USD

*TOTAL $315 USD

PER SOLO or VARIATION (ROUND 3) ***Selection of variations for Round 2 and Round 3 do NOT have to be the same.

IMPORTANT! PLEASE COMPLETE BELOW- If you advance to the 3rd ROUND you must perform the pieces you fill out below.Please be aware that there is no fee for the 3rd ROUND

Classical Variation Entry Title______

Running Time______min Choreographer/Teacher______

Contemporary Variation Entry Title______

Running Time______min Choreographer/Teacher______

For Office Use Only: Date Received______Ck#______

The student(s) and I have read all rules and regulations, and we understand that Star of the 21st Century is not responsible for any damage, injury or loss during the competition and workshop.

Studio Director or Parent/Guardian's Signature______Date______

STAR OF THE 21st CENTURY 2014 (ROUND 2) REGISTRATION FORM

PAS DE DEUX- PLEASE PRINT CLEARLY

(Complete one application per couple)

Please note: There is no fee for participants who are selected for Round 3

PARTICIPANT INFORMATION

Participant Name______

Birth Date______Age (as of February 1, 2014)______

GENDER  Female  Male Height ______Weight ______

How many years have you been dancing? ______Address______

City______State/Country______Zip______

Phone ______E-mail ______

PAS DE DEUX Partner’sName______

Birth Date______Age (as of February 1, 2014)______

GENDER  Female  Male Height ______Weight ____________

How many years have you been dancing? ______Address ______

City______State/Country______Zip______

Phone ______E-mail ______

SCHOOL INFORMATION

Dance School ______

Director of School ______

City______Country______Zip______

Phone______E-mail______

FEES

PER COUPLE for PAS DE DEUX (ROUND 2) You must perform the pieces you fill out below

1st Classical Variation Entry Title______

Running Time______min Choreographer/Teacher______

…………………………………………………………………………………………………………………………………………….Price $200 USD

2nd Contemporary Variation Entry Title______

Running Time______min Choreographer/Teacher______

…………………………………………………………………………………………………………………………………………..…Price $200 USD

MANDATORY WORKSHOP…………………………………………………………………………………………....…...... Price $170 USD

2 X GALA TICKETS………………………………………………………………………………………………………………….... Price $40 USD

*TOTAL $610 USD

(OR) TOTAL $400 USD

*Please note, if you are also performing as aSOLO you do not pay for the workshop & Gala tickets twice.

TOTAL for PAS DE DEUX (if you are also performing as a SOLO) $400 per couple.

(ROUND 3) ***Selection of variations for Round 2 and Round 3 do NOT have to be the same.

IMPORTANT! PLEASE COMPLETE- If you advance to the 3rd ROUND you must perform the pieces you fill out below.. Please be aware that here is no fee for the 3 ROUND

Classical Variation Entry Title______

Running Time______min Choreographer/Teacher______

Contemporary Variation Entry Title______

Running Time______min Choreographer/Teacher______

For Office Use Only: Date Received______Ck#______

The student(s) and I have read all rules and regulations, and we understand that Star of the 21st Century is not responsible for any damage, injury or loss during the competition and workshop.

Studio Director or Parent/Guardian's Signature______Date______

STAR OF THE 21st CENTURY 2014 (ROUND 2) REGISTRATION FORM

ENSEMBLE- PLEASE PRINT CLEARLY

(Please complete one application per dance)

SCHOOL INFORMATION

Dance School______

Director of School ______

Address______

City______Country ______Postal Code______

Phone/Fax # ______E-mail______

Entry Title______Running Time______min

Choreographer/Teacher______Total # of students in Dance______

Name of Accompanying Teacher(s)______

PARTICIPANT INFORMATION

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer ‘s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer ‘s Name ______DOB______Sex (M or F) E-mail Address: ______

Dancer’s Name ______DOB______Sex (M or F) E-mail Address: ______

FEES
PriceNumber Total USD
Trio (3 dancers) per dancer $45 USD x ______= ______
Ensembles (4+) per dancer $35 USD x ______= ______
Workshop fees:
$85 USD x ______= ______
TOTAL FEES: ...... $______

NOTES:

For Office Use Only: Date Received______Ck#______

The student(s) and I have read all rules and regulations, and we understand that Star of the 21st Century is not responsible for any damage, injury or loss during the competition and workshop.

Studio Director or Parent/Guardian's Signature______Date______