Transplant Games of America New Jersey, 2020 Ballroom Dance Competition Free Style Dance Entry Form Circle One Circle One Pro / Am Gentleman/Leader Name: ______________________________________ Recipient / Partner Circle One Circle One Pro / Am Lady/Follower Name: ______________________________________ Recipient / Partner Circle One: DIVISION #1 (Solid Organ Transplant Recipient) or DIVISION #2 (Living Donor or Corneal & Tissue Recipient) ** YOU MAY DANCE TWO LEVELS (YOURS PLUS ONE HIGHER) AND TWO AGE GROUPS (YOURS AND ONE YOUNGER) ** AGE LEVELS (Circle up to two – your actual age group and one younger) [11 – 13] [14 – 17] [18 – 29] [30 – 39] [40 – 49] [50 – 59] [60 – 69] [70+] Circle dances LEVEL AMERICAN SMOOTH DANCES NEWCOMER 0–2 years WALTZ TANGO FOXTROT VIENNESE WALTZ NOVICE 2–4 years WALTZ TANGO FOXTROT VIENNESE WALTZ INTERMEDIATE 4–6 years WALTZ TANGO FOXTROT VIENNESE WALTZ EXPERT 6+ years WALTZ TANGO FOXTROT VIENNESE WALTZ LEVEL AMERICAN RHYTHM DANCES NEWCOMER 0–2 years CHA CHA RUMBA SWING BOLERO MAMBO NOVICE 2–4 years CHA CHA RUMBA SWING BOLERO MAMBO INTERMEDIATE 4–6 years CHA CHA RUMBA SWING BOLERO MAMBO EXPERT 6+ years CHA CHA RUMBA SWING BOLERO MAMBO LEVEL INTERNATIONAL BALLROOM DANCES NEWCOMER 0–2 years WALTZ TANGO VIENNESE WALTZ FOXTROT QUICK STEP NOVICE 2–4 years WALTZ TANGO VIENNESE WALTZ FOXTROT QUICK STEP INTERMEDIATE 4–6 years WALTZ TANGO VIENNESE WALTZ FOXTROT QUICK STEP EXPERT 6+ years WALTZ TANGO VIENNESE WALTZ FOXTROT QUICK STEP LEVEL INTERNATIONAL LATIN DANCES NEWCOMER 0–2 years CHA CHA SAMBA RUMBA PASO DOBLE JIVE NOVICE 2–4 years CHA CHA SAMBA RUMBA PASO DOBLE JIVE INTERMEDIATE 4–6 years CHA CHA SAMBA RUMBA PASO DOBLE JIVE EXPERT 6+ years CHA CHA SAMBA RUMBA PASO DOBLE JIVE FOR QUESTIONS CONTACT: LISA VEGAS [email protected] 1 (216) 577-6952 SUBMIT ENTRY FORMS TO: [email protected] NO LATER THAN JUNE 6, 2021 .