In Association with the SADTA Kwazulu-Natal Ballroom Branch Presents The

In association with the SADTA KwaZulu-Natal Ballroom Branch presents the

Date: 4th March 2017 Venue: Hillcrest Primary School (see directions) Registration at 12pm Competition starts at 1pm sharp

TROPHIES & CERTIFICATES FOR ALL 1ST PLACE WINNERS ND RD CERTIFICATES AWARDED TO 2 AND 3 PLACES ENTRY FORM

Personal Details CLOTH Male Partner’s Name NO. ID No Date of Birth Telephone No Cell No EMAIL

Female Partner’s Name ID No Date of Birth Telephone No Cell No EMAIL

Dance Studio – Ballroom Dance Teacher Dance Studio Contact No Dance Studio – Latin Dance Teacher Dance Studio Contact No

Social Section Level Ballroom Latin American Other Beginner W, Q C, J/Swing Argentine Tango Intermediate W, T, Q C, R, J

Competitive Section Level Ballroom Latin American Beginners W, Q C, J Bronze W, T, Q C, R, J Silver W, T, SF, Q C, S, R, J Gold W, T, VW, SF, Q C, S, R, P, J Novice W, T, SF, Q C, S, R, J Pre-Championship W, T, VW, S, Q C, S, R, P, J Championship W, T, VW, S, Q C, S, R, P, J Competition Class W, T, SF, Q C, S, R, J Star Grade Bronze & VW P Silver Only Novice VW P

Age Group

Juvenile (11 & U) Junior (12 - 15) Youth (16 -21) Adult (21 & Over) Senior (35 and over)

Male Dancer’s Signature (or parent) Female Dancer’s Signature (or parent) Date

For Official Use Notes

COMPETITION INFORMATION

Entry Fees

ENTRY FEE: R350 PER COUPLE R175 PER DANCE FOR SINGLES SECTION

Spectators Fees

FRONT ROW (RESERVED): R100 UNRESERVED: R80 PENSIONERS & CHILDREN UNDER 12: R60

NAME OF ACCOUNT: SADTA STANDARD BANK BRANCH: Florida Road BRANCH CODE: 042726 ACCOUNT NO: 051300451 Reference for deposit: AF / Your Name / Cloth number YOU MUST PUT THE ABOVE REFERENCE SEQUENCE ON YOUR EFT/DEPOSIT SLIP

Please ensure your full name is on your deposit slip / proof of payment. Entry form must be accompanied by proof of payment or will be deemed null and void. Please ensure, before entering, that you are a paid up member of an Association and that proof of this payment, along with your competition entry form and proof of payment of entry fee, is e-mailed before Friday 24th February 2017. NO LATE ENTRIES WILL BE ACCEPTED!!!! EMAIL: [email protected]

For enquiries please call Mark on 076 913 6846.

ENTRIES CLOSE FRIDAY, 24th February 2017

PLEASE MARK ENTRY FORM CLEARLY – YOU WILL BE ENTERED IN THE DIVISON YOU HAVE SELECTED ONLY

STRICT DRESS CODE REGULATIONS WILL BE ENFORCED. THIS COMPETITION IS OPEN TO ALL DANCE ASSOCIATIONS AND CARRIES STATUS POINTS FOR BALLROOM AND LATIN AMERICAN SECTIONS.

DIRECTIONS TO HILLCREST PRIMARY SCHOOL VIA ALTERNATE ROUTE (M13) (West-bound FROM DURBAN) Travel along the M13, up Fields Hill, towards Hillcrest. Continue on M13 past Kloof, Gillitts and Winston Park. Do not take exit 28 to Winston Park!! Take exit 31. At stop street turn right to travel over the M13. Travel up the hill ± 1km (Shongweni Rd) - you will see Plantations residential complex on your right). Take first left into HOSPITAL ROAD. Travel ± 500m - take first left into EMOYENI DRIVE. Main entrance to school in Emoyeni Drive, gate 3.

DIRECTIONS TO HPS VIA N3 TOLL ROUTE (West-bound FROM DURBAN) Take the N3 West towards Pietermaritzburg - travel approx 30-35km to toll plaza. Go through Mariannhill Toll Plaza. Take the Shongweni off-ramp, and turn RIGHT over the N3. Travel straight along for approximately 5km to a T-junction (with traffic light). At traffic light, turn RIGHT into Old Main Road (R103). Travel up Old Main Road to big 4-way intersection with robot. (Shopping centres on all 4 corners) At this intersection turn RIGHT into HOSPITAL ROAD. Travel approximately 500m along Hospital road. HPS will be on your right. (Speed bumps in road) Main entrance to school in Emoyeni Drive, gate 3.

DIRECTIONS TO HPS FROM PIETERMARITZBURG VIA (M13) (East-bound FROM PMB) Travel on N3 and then take M13 split towards Hillcrest. Take exit 31 and turn RIGHT. Travel up the hill ± 1km (Shongweni Rd) - you will see Plantations residential complex on your right). Take first left into HOSPITAL ROAD. Travel ± 500m - take first left into EMOYENI DRIVE. Main entrance to school in Emoyeni Drive, gate 3.