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Dance Festival Entry Form
1
Email
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example@example.com
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2
Competitor Name
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First Name
Last Name
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3
Mobile number
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Area Code
Phone Number
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4
Home Number
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5
Address
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Street Address
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Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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Uruguay
Uzbekistan
Vanuatu
Vatican City
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Vietnam
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US Virgin Islands
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6
Parent /Caregivers Name
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First Name
Last Name
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7
Dance School Name
*
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1
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8
Local Competitor?
*
This field is required.
A local competitor lives in the South Waikato or Matamata District at time of entry
Yes
No
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9
Competitor Date of Birth
*
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-
2
Day
Month
Year
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10
Competitor Age at 9th October 2019
*
This field is required.
Under 6
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Under 6
6
7
8
9
10
11
12
13
14
15
16
17
18
19
3
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11
1.Classical - Under 6
$8 per class
$8
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12
2.Barefoot - Under 6
$8 per class
$8
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13
3.Demi - Under 6
$8 per class
$8
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14
4.National - Under 6
$8 per class
$8
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15
56.jazz - Under 6
$8.00 per class
$8
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16
57.Lyrical - Under 6
$8.00 per class
$8
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17
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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18
5.Classical - 6 years
$8 per class
$8
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19
6.Barefoot - 6 years
$8 per class
$8
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20
7.Demi - 6 years
$8 per class
$8
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21
8.National - 6 years
$8 per class
$8
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22
58.Jazz - 6 years
$8 per class
$8
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23
59.Lyrical - 6 years
$8 per class
$8
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24
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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25
9.Classical - 7 years
$8.00 per class
$8
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26
10.Barefoot - 7 years
$8.00 per class
$8
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27
11.Demi - 7 years
$8.00 per class
$8
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28
12.National - 7 years
$8.00 per class
$8
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29
60.Jazz - 7 years
$8.00 per class
$8
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30
61.Lyrical - 7 years
$8.00 per class
$8
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31
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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32
13.Classical - 8 years
$8.00 per class
$8
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33
14.Barefoot - 8 years
$8.00 per class
$8
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34
15.Demi - 8 years
$8.00 per class
$8
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35
16.National - 8 years
$8.00 per class
$8
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36
62.Jazz - 8 years
$8.00 per class
$8
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37
63.Lyrical - 8 years
$8.00 per class
$8
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38
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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39
17.Classical - 9 years
$8.00 per class
$8
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40
18.Barefoot - 9 years
$8.00 per class
$8
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41
19.Demi - 9 years
$8.00 per class
$8
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42
20.National - 9 years
$8.00 per class
$8
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43
64.Jazz - 9 years
$8.00 per class
$8
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44
65.Lyrical - 9 years
$8.00 per class
$8
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45
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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46
21.Classical - 10 years
$8.00 per class
$8
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47
22.Barefoot - 10 years
$8.00 per class
$8
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48
23.Demi - 10 years
$8.00 per class
$8
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49
24.National - 10 years
$8.00 per class
$8
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50
66.Jazz - 10 years
$8.00 per class
$8
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51
67.Lyrical - 10 years
$8.00 per class
$8
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52
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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53
25.Classical - 11 years
$8.00 per class
$8
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54
26.Barefoot - 11 years
$8.00 per class
$8
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55
27.Demi - 11 years
$8.00 per class
$8
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56
28.National - 11 years
$8.00 per class
$8
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57
68.Jazz - 11 years
$8.00 per class
$8
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58
69.Lyrical - 11 years
$8.00 per class
$8
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59
All age group classes entered?
*
This field is required.
You will be taken to the Under 12 classes
Yes
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60
49a.Restricted Ballet Under 12
$8.00 per class. RESTRICTED- to qualify, dancer CANNOT have won their age category for that class
$8
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61
52a.Impromptu Classical Under 12
$8.00 per class.
$8
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62
53a.Impromptu Barefoot Under 12
$8.00 per class.
$8
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63
91a.Restricted Jazz Under 12
$8.00 per class. RESTRICTED- to qualify, dancer CANNOT have won their age category for that class.
$8
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64
92a.Hiphop Under 12
$8.00 per class.
$8
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65
93a.Musical Theatre Under 12
$8.00 per class.
$8
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66
93a. Musical Theatre Title Under 12
4
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67
93b.Contemporary Under 12
$8.00 per class.
$8
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68
94a.Impromptu Jazz Under 12
$8.00 per class.
$8
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69
95a.Impromptu Props Under 12
$8.00 per class.
$8
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70
96a.Impromptu Lyrical Under 12
$8.00 per class.
$8
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71
50a.Ballet Duo Under 12
$12.00 per Duo. Both dancers must be under 12, otherwise enter the 12yrs plus Duo section.
$12
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72
50a. Ballet Duo Partner
5
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73
98a.Jazz Duo Under 12
$12.00 per Duo. Both dancers must be under 12, otherwise enter the 12yrs plus Duo section.
$12
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74
98a. Jazz Duo Partner
6
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75
Confirm correct under 12 classes entered?
*
This field is required.
Yes
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76
29.Classical 12 years
$8.00 per class
$8
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77
30.Barefoot 12 years
$8.00 per class
$8
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78
31.Demi 12 years
$8.00 per class
$8
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79
32.National 12 years
$8.00 per class
$8
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80
71.Jazz 12 years
$8.00 per class
$8
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81
72.Lyrical 12 years
$8.00 per class
$8
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82
73.Contemporary 12 years
$8.00 per class
$8
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83
74.Musical Theatre 12 years
$8.00 per class
$8
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84
All age group classes entered?
*
This field is required.
You will be taken to the 12 and over classes
Yes
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85
33.Classical 13 years
$8.00 per class
$8
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86
34.Barefoot 13 years
$8.00 per class
$8
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87
35.Demi 13 years
$8.00 per class
$8
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88
36.National 13 years
$8.00 per class
$8
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89
75.Jazz 13 years
$8.00 per class
$8
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90
76.Lyrical 13 years
$8.00 per class
$8
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91
77.Contemporary 13 years
$8.00 per class
$8
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92
78.Musical Theatre 13 years
$8.00 per class
$8
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93
All age group classes entered?
*
This field is required.
You will be taken to the 12 and over classes
Yes
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94
37.Classical 14 years
$8.00 per class
$8
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95
38.Barefoot 14 years
$8.00 per class
$8
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Press
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96
39.Demi 14 years
$8.00 per class
$8
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97
40.National 14 years
$8.00 per class
$8
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Press
Enter
98
79.Jazz 14 years
$8.00 per class
$8
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99
80.Lyrical 14 years
$8.00 per class
$8
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100
81.Contemporary 14 years
$8.00 per class
$8
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101
82.Musical Theatre 14 years
$8.00 per class
$8
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102
All age group classes entered?
*
This field is required.
You will be taken to the 12 and over classes
Yes
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103
41.Classical 15 years
$8.00 per class
$8
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104
42.Barefoot 15 years
$8.00 per class
$8
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105
43.Demi 15 years
$8.00 per class
$8
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Press
Enter
106
44.National 15 years
$8.00 per class
$8
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Enter
107
83.Jazz 15 years
$8.00 per class
$8
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Enter
108
84.Lyrical 15 years
$8.00 per class
$8
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109
85.Contemporary 15 years
$8.00 per class
$8
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110
86.Musical Theatre 15 years
$8.00 per class
$8
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111
All age group classes entered?
*
This field is required.
You will be taken to the 12 and over classes
Yes
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112
45.Classical 16 years and over
$8.00 per class
$8
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113
46.Barefoot 16 years and over
$8.00 per class
$8
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Enter
114
47.Demi 16 years and over
$8.00 per class
$8
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Press
Enter
115
48.National 16 years and over
$8.00 per class
$8
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Enter
116
87.Jazz 16 years and over
$8.00 per class
$8
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Enter
117
88.Lyrical 16 years and over
$8.00 per class
$8
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118
89.Contemporary 16 years and over
$8.00 per class
$8
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119
90.Musical Theatre 16 years and over
$8.00 per class
$8
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120
All age group classes entered?
*
This field is required.
You will be taken to the 12 and over classes
Yes
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121
49b.Restricted Ballet 12 years and over
$9.00 per class. RESTRICTED- to qualify, dancer CANNOT have won their age category for that class
$8
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122
51.Neo 12 years and over
$8
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123
52b.Impromptu Classical 12 years and over
$8
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124
53b.Impromptu Barefoot 12 years and over
$8
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125
Junior Ballet Variation Class
$10 per variation
49e. Restricted - 12 and under 14 years $10
55a. 12 and under 14 years $10
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126
49e/55a. Junior Variation Title
7
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127
Senior Variation 14 years and over
$10.00 - for each variation. See rules and pacanz criteria in entry forms
55b. Classical Variation One - from designated list($10)
55c. Classical Variation Two - from any recognised repertoire($10)
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128
55b. First Variation Title
8
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129
55c. Second Variation Title
9
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130
91b.Restricted Jazz 12 years and over
$8.00 per class. RESTRICTED- to qualify, dancer CANNOT have won their age category for that class
$8
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131
92b.Hiphop 12 years and over
$8.00 per class.
$8
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132
94b.Impromptu Jazz 12 years and over
$8.00 per class.
$8
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133
95b.Impromptu Props 12 years and over
$8.00 per class.
$8
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134
96b.Impromptu Lyrical 12 years and over
$8.00 per class.
$8
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135
50b.Ballet Duo 12 years and over
$12.00 per Duo.
$12
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136
50b. Ballet Duo Partner
10
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137
98b.Jazz Duo 12 years and over
$10.00 per Duo. Both dancers must be under 12, otherwise enter the 12yrs plus Duo section.
$12
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138
98b. Jazz Duo Partner
11
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139
100.Jazz Junior Championship Class
$10.00 - modern, dancer choice, dance can be repeated
100. Jazz Champ 12 and under 14 years ($10)
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140
Senior Championship Class 14 years and over
$10.00 - for each. jazz and contemporary. Must tick both boxes /enter both, to qualify for awards or placings.
101A Jazz ($10)
101B Contemporary($10)
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141
49d.Restricted Pointe Open
$8.00 per class. RESTRICTED- to qualify, dancer CANNOT have won with a pointe dance at a previous competition
$8
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142
93c.Own Choreography - Open
$8.00 per class. Own Choreo-MUST be dancers own work, and no more than 2mins; we will split to age groups dependent on numbers.
$8
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143
97.Impromptu Duo - Open
$8.00 per class.
$8
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144
Barefoot Title
*
This field is required.
12
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145
Demi-character Title
*
This field is required.
13
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146
National Character Title
*
This field is required.
14
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147
Musical Theatre Title
*
This field is required.
15
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148
NYPA Entry for Ballet (please read entry conditions)
National Young Performer 2020 Ballet nominations entry. Competitors must be 15 and under 19 years as at 1 October 2020 to qualify, and enter classes 55b&c
$25
$0
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149
Compulsory Admin Fee (per competitor)
*
This field is required.
Compulsory admin fee Per Competitor
$20
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150
Family Pass (only payable once per family). If you have 2 or more children dancing, and have already paid for one child, tick $0
*
This field is required.
Family pass, $5 per family.
$5
$0
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151
Number of Friday night Festival Tickets required
*
This field is required.
These will be held at the Plaza counter for collection, under the dancers /caregivers name on entry form
0 ($0)
1($5)
2($10)
3($15)
4($20)
5($25)
10($50)
20($100)
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152
I confirm that by completing and submitting this form that we/I agree to abide by all of the rules of the competition and the decisions of the committee
*
This field is required.
I agree
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153
TOTAL Payable via Internet banking: SWDF 03-0418-0154146-00, please use your childs name as a reference.
16
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