Application - Ensemble Form
Regulation & Release Agreement
Entry - School Independent Age Divisions: age as of 1/1/2013(average age. round down. Ex 11.8 - will compete in primary division) *Ensembles are subject to compete in the same division, regardless of average age. Must be 10 entries in an age division to compete separate. Primary (7-11 years old) Junior (12-14 years old) Senior (15-21 years old) Ballet School Information: Name Phone School Address: Street City State Zip Country
Age Divisions: age as of 1/1/2013(average age. round down. Ex 11.8 - will compete in primary division) *Ensembles are subject to compete in the same division, regardless of average age. Must be 10 entries in an age division to compete separate.
Primary (7-11 years old)
Junior (12-14 years old)
Senior (15-21 years old)
Ballet School Information:
Name
Phone
School Address:
Street City State Zip Country
Email (required)
School Director
Entry Information: (check type of ensemble registering)
Pas de Deux
Entry Title
Choreographer / Coach
Running Time
Performing Coda Yes or No
Non - Competing Partner Yes or No Name of non-compete partner
Ensemble (4-7 dancers) (Teachers Only, Fill Out Ensemble Section)
1. Dancer Name Age 2. Dancer Name Age 3. Dancer Name Age 4. Dancer Name Age 5. Dancer Name Age 6. Dancer Name Age 7. Dancer Name Age
Ensemble (8 + dancers) (Teachers Only, Fill Out Ensemble Section)
1. Dancer Name Age 2. Dancer Name Age 3. Dancer Name Age 4. Dancer Name Age 5. Dancer Name Age 6. Dancer Name Age 7. Dancer Name Age 8. Dancer Name Age 9. Dancer Name Age 10. Dancer Name Age 11. Dancer Name Age 12. Dancer Name Age 13. Dancer Name Age 14. Dancer Name Age 15. Dancer Name Age 16. Dancer Name Age 17. Dancer Name Age 18. Dancer Name Age 19. Dancer Name Age 20. Dancer Name Age 21. Dancer Name Age 22. Dancer Name Age 23. Dancer Name Age 24. Dancer Name Age 25. Dancer Name Age 26. Dancer Name Age 27. Dancer Name Age 28. Dancer Name Age 29. Dancer Name Age 30. Dancer Name Age 31. Dancer Name Age 32. Dancer Name Age
