ENCOREDCS2017 Entry Form

*Visit for Online Registration*

Competition Location______Competition Date______

Studio Name ______Studio Director ______

Studio Mailing Address ______

City/State/Zip______Email Address:______

Studio Phone # ______Cell/Home # ______

*See the rules and regulations page for answers to questions concerning divisions, categories,time limits and ages!*

TITLE OF ROUTINE (MUSIC): ______

DIVISION: ____Recreational ____ Competitive _____ Elite _____ Pro – Am

PERFORMANCE CATEGORY : _____AcroJazz ____ Ballet ____ Baton ____ Character ____ Clogging

_____Contemporary ____Costume ____ Folkloric ____ Gymnastics ____ Hip Hop ____ Jazz

____ Liturgical ____ Lyrical ____ Modeling ____ Modern ____ Musical Theater ____ Open

____ Pointe ____ Pom Pom ____ Song & Dance ____ Tap ____ Vocal

AGE DIVISION:{Please check one based on average age calculated on back of entry form}

Petite: ____ 6 & under ____ 7-8 Junior: ____ 9-11 Teen: ____ 12-14

Senior: ____ 15-16 ____ 17-18Senior Plus:____ 19-24 ____ 25-39 ____ 40 & up

GROUP DIVISION:____ Solo ____ Duet/Trio (3 minute max)

____ Small Group {4-9 dancers}____ Large Group {10-16 dancers}____ Super Group {17or more dancers} (4:30 max)

____ Production {unlimited dancers} (9 minute max)

ENTRY FEES:Teachers or studio directors may call or email for prices.

*Please visit for ONLINE REGISTRATION. A printable entry form does not need to be submitted if you have completed online registration. If you choose to register by mail, please submit one entry form and student list for every entry.

**See the attached Master List and Waiver. Please list each student’s name, birthdate and parent signature and submit with entry forms or at competition registration.

We appreciate payment by check. Credit cards accepted. If paying by credit card, please submit a Credit Card authorization form with your entries. Credit card forms can also be faxed to 866-326-4979 or emailed to . All Entries are accepted on a first come first served basis. Most events reach capacity before the deadline so register early! Entries must be postmarked or entered online at least 28 days prior to competition date with a 50% deposit. Final payment must be received two weeks prior to the event.

PLEASE MAIL ALL ENTRY FORMS WITH PAYMENT TO: ENCORE DCS 203 West Butler Street Lexington, SC 29072

FOR GENERAL INFORMATION: CALL Rhonda (803) 319-3295

FOR INFORMATION REGARDING RULES AND REGISTRATION: Call our office at(803) 785-8566 or FAX 866-326-4979

NAME / BIRTH
DATE / AGE as of January 1st, 2017 / NAME / BIRTH
DATE / AGE as of January 1st, 2017

AVERAGE AGE = ______

REQUIRED MASTER LIST & STUDENT WAIVER

(One form per studio)

STUDIO NAME:______COMPETITION LOCATION:______DATE:______

Entry Forms cannot be processed without a Master List and Waiver. If parent signatures cannot be compiled by the deadline, please submit this form with names and birthdates for registration purposes and submit the parent signatures at the competition.

WAIVER AND RELEASE:

All participants give Encore DCS the right to use their photograph or video for advertising or any other commercial use. I hereby waiver all claims for injury, damage, or loss to my child, myself and property during my participation at ENCORE DANCE COMPETITION FOR THE STARS, INC. and release the promoters, directors, and employees of ENCORE DCS from any liability for injury, damage, or loss which may be caused by any act or omission of any of them.

Child’s NameDate of BirthParent/Guardian Signature

______

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