2012 Package holders dance entry form: South American Open email: [email protected] email:
Instructor Name: Pro-Am Amateur 100 3rd Ave West #170 Bradenton, FL 34205 USA Entry Type (must select one) Tel: +941 758-8381 Jr YA A B C D Signature Send to: World Promotions <18 18 - 35 36 - 50 51 - 65 66 - 79 >80 Amateur Lady Name: Age Category (Must select one) Uncontested Contested (Proficiency)
Signature Judging Criteria (Must select one) Fax: +941-727-0958 Amateur Gentleman Name:
Signature Representing As it will appear in the printed program Mailing Address : City, State, Country and Postal Codes: tel: fax: email: 35 NC NC BZ 1 BZ 1 BZ 2 BZ 2 SV 1 SV 1 SV 2 SV 2 GLD GLD # @ SMOOTH TOTAL CL OP CL OP CL OP CL OP CL OP CL OP $35 Waltz Tango Foxtrot Viennese Waltz BALLROOM Waltz Tango Viennese Waltz Foxtrot Quickstep RHYTHM Cha Cha Rumba Swing Bolero Mambo Salsa Samba Merengue West Coast Swing Hustle Argentine Tango LATIN Cha Cha Samba Rumba Paso Doble Jive Freestyle Totals CLOSED MULTI DANCE EVENTS Age Category A - 18-35 B -35 + over Please select ONE: AB @ $100 SMOOTH Waltz, Tango, Foxtrot RHYTHM Cha Cha, Swing, Bolero BALLROOM Waltz, Tango, Foxtrot, Quickstep LATIN Cha Cha, Samba, Rumba, Jive Closed Multi-Dance Totals OPEN MULTI DANCE EVENTS (Scholarship / World Challenges) Age Category A - 18-35 B -35 + over Please select ONE: A B @ $100 SMOOTH Waltz, Tango, Foxtrot, Viennese Waltz RHYTHM Cha Cha, Rumba, Swing, Bolero, Mambo BALLROOM Waltz, Tango, Foxtrot, Quickstep LATIN Cha Cha, Samba, Rumba, Paso, Jive Open (Scholarship) Multi-Dance Totals
TOTAL ENTRY FEES (Please make payment to: "World Promotions") $ Entry Deadline for all events is 14 days prior to the commencement of the event 2012 South American Entry Form South American Open email: [email protected] email:
Instructor Name: Pro-Am Amateur 100 3rd Ave West #170 Bradenton, FL 34205 USA Entry Type (must select one) Tel: +941 758-8381 Jr YA A B C D Signature Send to: World Promotions <18 18 - 35 36 - 50 51 - 65 66 - 79 >80 Amateur Lady Name: Age Category (Must select one) Uncontested Contested (proficiency)
Signature Judging Criteria (Must select one) Fax: +941-727-0958 Amateur Gentleman Name:
Signature Representing As it will appear in the printed program Mailing Address : City, State, Country and Postal Codes: tel: fax: email: 40 NC NC BZ 1 BZ 1 BZ 2 BZ 2 SV 1 SV 1 SV 2 SV 2 GLD GLD # @ SMOOTH TOTAL CL OP CL OP CL OP CL OP CL OP CL OP $40 Waltz Tango Foxtrot Viennese Waltz BALLROOM Waltz Tango Viennese Waltz Foxtrot Quickstep RHYTHM Cha Cha Rumba Swing Bolero Mambo Salsa Samba Merengue West Coast Swing Hustle Argentine Tango LATIN Cha Cha Samba Rumba Paso Doble Jive Freestyle Totals CLOSED MULTI DANCE EVENTS Age Category A - 18-35 B -35 + over Please select ONE: AB @ $100 SMOOTH Waltz, Tango, Foxtrot RHYTHM Cha Cha, Swing, Bolero BALLROOM Waltz, Tango, Foxtrot, Quickstep LATIN Cha Cha, Samba, Rumba, Jive Closed Multi-Dance Totals OPEN MULTI DANCE EVENTS (Scholarship / World Challenges) - (Not eligible for Prize Money) Age Category A - 18-35 B -35 + over Please select ONE: A B @ $100 SMOOTH Waltz, Tango, Foxtrot, Viennese Waltz RHYTHM Cha Cha, Rumba, Swing, Bolero, Mambo BALLROOM Waltz, Tango, Foxtrot, Quickstep LATIN Cha Cha, Samba, Rumba, Paso, Jive Open (Scholarship) Multi-Dance Totals TOTAL ENTRY FEES (Please make payment to: "World Promotions") $ Entry Deadline for all events is 14 days prior to the commencement of the event