Form Leader: Age: DOB: mm/dd/yy: NDCA#: Studio: FV Follower: Age: Teacher: Amateur Mul� Dance Virtual Entry Form DOB: mm/dd/yy: NDCA#: Phone: Adult contact name: Email:

Amateur Rhythm Amateur Int'l Ballroom $ Per Category Dances Couple Category Dances $ Per Couple Sun Day - Session 10 Sun Day - Session 10 65 Amateur Under 21 - American Rhythm Cha Cha, Rumba, Swing, Bolero Amateur Under 21 - Int'l Ballroom Waltz, Tango, V. Waltz, Foxtrot, Quickstep 75 Wed Eve - Session 3 Fri Day - Session 6 Pre-Novice - American Rhythm Cha Cha, Rumba 40 Pre-Novice - Int'l Ballroom Waltz, Tango 40 Novice - American Rhythm Cha Cha, Rumba, Swing 55 Pre-Novice - Int'l Ballroom Foxtrot, Quickstep 40 Pre-Championship - American Rhythm Cha Cha, Rumba, Swing, Bolero 65 Novice - Int'l Ballroom Waltz, Foxtrot, Quickstep 55 Senior Open - American Rhythm (35+) Cha Cha, Rumba, Swing, Bolero 65 Pre-Championship - Int'l Ballroom Waltz, Tango, Foxtrot, Quickstep 65 Open Am - Am Rhythm Cha Cha, Rumba, Swing, Bolero, Mambo 75 Senior Open - Int'l Ballroom (35+) Waltz, Tango, V. Waltz, Foxtrot, Quickstep 75 $ Total Amateur Rhythm Dance Entries: Masters Open - Int'l Ballroom (51+) Waltz, Tango, V. Waltz, Foxtrot, Quickstep 75 Fri Eve - Session 7 75 Open Am - Int'l Ballroom Waltz, Tango, V. Waltz, Foxtrot, Quickstep Amateur Smooth $ $ Per Total Amateur Int'l Ballroom Dance Entries: Category Dances Couple Sun Day - Session 10 Amateur Under 21 - American Smooth Waltz, Tango, Foxtrot, V. Waltz 65 Amateur Int'l La�n Thu Eve - Session 5 Category Dances $ Per Pre-Novice - American Smooth Waltz, Tango 40 Couple Sun Day - Session 10 Novice - American Smooth Waltz, Tango, Foxtrot 55 Amateur Under 21 - Int'l La�n Cha Cha, Samba, Rumba, Paso Doble, Jive 75 Pre-Championship - American Smooth Waltz, Tango, Foxtrot, V. Waltz 65 Sat Day - Session 8 Pre-Novice - Int'l La�n Cha Cha, Samba 40 Senior Open - American Smooth (35+) Waltz, Tango, Foxtrot, V. Waltz 65 Pre-Novice - Int'l La�n Rumba, Jive 40 Open Am - Am Smooth Waltz, Tango, Foxtrot, V. Waltz 65 Novice - Int'l La�n Cha Cha, Rumba, Jive 55 $ Total Amateur Smooth Dance Entries: Pre-Championship - Int'l La�n Cha Cha, Samba, Rumba, Jive 65 75 Session Tickets: For compe�tors the entry fee includes Senior Open - Int'l La�n (35+) Cha Cha, Samba, Rumba, Paso Doble, Jive $ general admission �ckets for the sessions they are Masters Open - Int'l La�n (51+) Cha Cha, Samba, Rumba, Paso Doble, Jive 75 compe�ng in. Parents and spectators must purchase �ckets Total F Fees Fri Eve - Session 7 Open Am - Int'l La�n Cha Cha, Samba, Rumba, Paso Doble, Jive 75 to enter the ballroom. $ Transfer to Accoun�ng Total Amateur Int'l La�n Dance Entries: Summary Form J www.BallroomBeachBash.com Email: [email protected] Phone: (858) 633-7705