Triple Crown & Crown Jewel Dancesport Entry Form New Pro/Am & Amateur Rising Star and CW Entry Form (Can Dance 2 Age Categories) Studio:____________________________Address:______________________________________ City:_______________________________________State:_______________Zip:____________ Phone:____________________FAX:___________________E-Mail:________________________ Professional:______________________________________NDCA No._____________________ Amateur:_______________________________Male or Female____________________________ (PleaseCircle Age): AA (16-28); A1 (16-28); A2 (29-36); A2 (37-44); B1 (45-52); B2 (53-60); B3 (61-68);C1 (69-76); C2 (77-84); C3 (85-92); D1 (93+); PTA (UN 6); PTB (6-7); PTC (8-9); PT2 (10-11); J1 (12-13); J2 (14-15); YTH (16-18) Advance, Open And 1-Dance Are All Open Material
Category
Age
Regular____ Am. Smooth
Proficiency____
Bronze__Silver__Gold__ Abv Gold___ Int’l Stand Int’l Latin
Am. Rhythm
(Brz .Only) ____ &____ Newcomer
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
____ &____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
____ &____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
____ &____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
______&_____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
____&____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
____&____
W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
Beginner Preliminary Intermediate Full Advance Open 1-Dance
___&_____ W T FT VW PB AT CC R SW B MA MER SA WCS H SAL PD BA W T VW F Q CC SA R PD J
Country Western Contested_____ Proficiency____
Regular____ Rising Star____
Bronze____Silver_____Gold_____
NC______Beg_______Prel______Interm._____Full____Advanced_____Open______1 Dance_______ Circle Dance(s) 2 Step Cc W Wcs Ecs Nite Club Polka Triple Two:
Age___&___
Entries are due by deadline Contact us at: Dance Consultants Unlimited 6583 Meandering Way, Lakewood Ranch Florida, 34202; Phone: (941)753-7940; Fax: 941-7537948; e-mail:
[email protected] Fax: (863)688-3012; e-mail:
[email protected]; web site: www.triplecrowndance.com
