PRO-AM OPEN Registration Form Scholarship

PRO-AMAMERICAN STYLERegistration Form

For Student/Student entries please put S/S in S/S column & list one student in each name column

Studio:Contact Name:

Address:Email:Telephone:

Age divisions:Pre-Teen PT1 1-9PT2(10-11)Junior J1 (12-13)J2 (14-15)

Youth Y (16-18)LA/GA (18-20)LA1/GA1 (21-30)LA2/GA2 (31-40) LA3/GA3 (41-50)

LB/GB (51-60)LB1/GB1 (61-70)LC/GC (71-80)LC1/GC1 (81-over)

All silver and above categories will be a unisex competition.

Categories:NewcomerNewcomer SilverAssociate Gold

Pre-BronzeAssociate SilverFull Gold

Associate BronzeFull SilverOpen Gold

Full BronzeOpen SilverSHOWCASES – available in all categories

Open BronzeNewcomer GoldRISING STAR – available in all categories

PROFICIENCY – available in all categories

Teachers Name:SSN:

Name / S/S / Age / Categories / W / T / F / VW / PEA / TS / LH / AT / CC / R / SW / B / M / MER / S / WCS / SAL / H / PD
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency
PT1PT2J1J2YLAGALA1GA1LA2GA2LA3GA3LBGBLB1GB1LCGCLC1GC1 / NewcomerPre-BronzeAsso BronzeFull BronzeOpen BronzeNewc SilverAsso SilverFull SilverOpen SilverNewc GoldAsso GoldFull GoldOpen GoldShowcaseRising StarProficiency

Total Entries:

Cancellation Policy: No refunds will be made for entries, sessions, or packages after the final deadline of May 10th, 2017.

Send forms and fees to: “Dancing a la Carte” c/o David Rosinski, 200 Lambert Terrace #28 Chicopee, MA 01020, Ph/Fax (413) 538-7991

Email: