WORLD PROMOTIONS REGISTRATION FORM & ROOMING LIST Sunburst Ball 2011
Studio Name: Address:
Contact:
Telephone Fax: email:
Please see "Package Information Sheet" for details Package Type (Enter # of participants on each type of package)
Name A A (Last, First) B B BI* Comp Totals Single Forms Nights
Please list room mates consecutively & Hotel Package Package Package VIP Twin Midweek Midweek Total Due Due Total Additional VIP Single transfered transfered from Entry Entry from Entry Fees Fees Entry (Must be 2) be (Must (must be 2) be (must this person this Competition Competition & Hotel Twin Sunburst Ball 2011 $200 $990 $740 $790 $540 $250 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Total # of Participants each package Please provide details of additional nights (dates) And room upgrades: INDIVIDUAL SESSION TICKETS (PLEASE COMPLETE REVERSE) All Session Bundled Pass ( Competion/Reserved Seating) @ $100 Session Admission Sunday (Ballroom and Smooth) @ $30 Dinner and Show Sunday @ $150 Show Only Sunday ( Eve) @ $40
Total # of Session Tickets
Other Charges : Details
GRAND TOTALS
World Promotions Inc. Less: Payments Received (Credits) : Date: 100 3rd Ave West #170 Less: Payments Received (Credits) : Date: Bradenton. FL 34205 Tel: 941 758 8381 Fax: 941 727 0958 TOTAL AMOUNT NOW DUE: Email: [email protected] Thank you for your business Service, Honesty, Respect package holders dance entry form: SUNBURST BALL
Instructor Name: 100 3rd Ave West #170 Bradenton, FL 34205 USA Pro-Am Amateur [email protected] email: Entry Type (must select one)
YA A B C D Tel: +941 758-8381 Signature 18 - 35 36 - 50 51 - 65 66 - 79 >80 Send to: World Promotions Amateur Lady Name: Age Category (Must select one)
Contested Uncontested 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:
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 Foxtrot Tango Viennese Waltz STANDARD Waltz Tango Viennese Waltz Foxtrot Quickstep RHYTHM Cha Cha Rumba Swing Merengue Mambo Salsa Samba Bolero West Coast Swing Hustle Argentine Tango Nite Club 2 Step LATIN Cha Cha Samba Rumba Paso Doble Jive Freestyle Totals OPEN MULTI DANCE EVENTS (Scholarship / World Challenges) Age Category A - 18-35 B -35 + over Please select ONE: AB @ $100 SMOOTH Waltz, Foxtrot, Tango RHYTHM Cha Cha, Rumba, Swing, Bolero, Mambo STANDARD Waltz, Tango, Viennese, Foxtrot, Quickstep LATIN Cha Cha, Samba, Rumba, Paso, Jive Multi-Dance Totals Solo / Showcase (By Invitation or per request) TOTAL ENTRY FEES (Please make payment to: "World Promotions") $ YOUTH ENTRY FORM ‐ SUNBURST BALL Instructor Name:
Pro-Am Amateur 100 Third Ave West #170 Bradenton, FL 34205 USA Entry Type (must select one) PT JR YT Tel: +941 758-8381 Fax: +941-727-0958 email: [email protected] email: Signature
>12 >15 >18 Send to: World Promotions Send to: World Amateur Lady Name: Age Category (Must select one)
Signature Amateur Gentleman Name:
Representing Signature (as it will appear in program)
Mailing Address : City, State, Country and Postal Codes: tel: fax: email:
NC NC BZ BZ SV SV GL GL SMOOTH TOTAL CL OP CL OP CL OP CL OP Waltz Foxtrot Tango Viennese Waltz STANDARD Waltz Tango Viennese Waltz Foxtrot Quickstep RHYTHM Cha Cha Rumba Swing Merengue Mambo Salsa Samba Bolero West Coast Swing Hustle Argentine Tango LATIN Cha Cha Samba Rumba Paso Doble Jive
Freestyle Totals OPEN MULTI DANCE EVENTS (World Challenges)
SMOOTH Waltz, Foxtrot, Tango RHYTHM Cha Cha, Rumba, Swing STANDARD Waltz, Tango, Foxtrot LATIN Cha Cha, Rumba, Jive
TEN SINGLE DANCE ENTRIES ARE COMPLIMENTARY TO DANCERS UNDER 18. $