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.
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