PORT COLBORNE FESTIVAL OF THE ARTS - DANCE ENTRY FORM

Deadline – February 1

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DANCE CATEGORIES: Please choose ONE (1) of the following PLUS NOVICE (if applicable)
    Specify Type
    Specify Type
AGE DIVISIONS: Please SELECT ONE (1) of the following
PERFORMANCE CATEGORIES
Solo X $30.00 Duet X $40.00

$20.00/dancer
Trio X $45.00

$15.00/dancer
Small Group X

$15.00/dancer
Medium Group X

$15.00/dancer
Large Group

$15.00/dancer
Production

$15.00/dancer

Total Fee (CAD) For This Routine.......................................................... $

We hereby release the Directors of this dance competition from any and all claims for damages or injuries which we may sustain while participating in any activity connected with this competition.

NAME OF DANCER AGE AS OF
JANUARY 1
DATE OF BIRTH
(e.g. March 14, 2000)
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Average Age =
(To calculate, refer to 1. ELIGIBILITY #2)