SPRING SPIRIT DANCE & STUNT COMPETITION REGISTRATION FORM


 

 

APRIL 10, 2010

Northern Virginia Community College.  Annandale VA

 


 

How to Register:                                 

1.   Complete team information

2.      Complete Director/Coach information

3.      Check division(s) and the Number of participants

4.      Complete payment information

5.      Submit registration form

6.      Mail check for payment to:

Jetz All- Stars

P.O. Box 4 Sterling VA 20167

571-266-7278

 

Payment Information

 

FEE IS FREE per team

 $100 Deposit per organization return at the Competition (Includes 2 coaches)

Entrance fee is $50 per team

If registered after March 12, 2010

 

Total

Number of

Teams      x $        = $

 

Total
# Of Extra

Coaches   x $5.00 = $

 

Total Amount Enclosed = $

 

I acknowledge as Director/Coach that my team(s) cannot compete without submission of complete team roster, all medical release forms and full payment prior to the competition.

 

Signature

 

 

Date

 

Office Use Only

 

   Received Date: __________________

  

   Amt. Paid: ______________________

  

   # of Waivers Due: _______________

 

 

 

 

Team Information:

Team Name:

Team Colors:

Team Address:

City: State: Zip:

Team Phone:

Team Email:

 

Director/Coach Information:

Director/Coach:

Director/Coach Address:

City: State: Zip:

Director/Coach Phone: (Day) (Eve)

Email:

 

Dance Divisions - Hip Hop, Pom - Other divisions will be added as needed

 

P

 

Division

Number of Participants

Youth (11 and under)

Junior (14 and under)

Senior (18 and under)

Open (17 and older)

 

Stunt Divisions

 

P

 

Division

 

Level

# of

Part.

11 and under

14 and under

18 and under