S SOLO entry form “2015” Please fill in all details correctly. Age is taken at 1st January 2015. ENTRIES CLOSE 31st July 2015 - LATE ENTRIES 7TH AUGUST 2015 Entrant Name:____________________________________________________________________________________ Date Of Birth: __________________________Age at 1st Jan 2015:____________________________________ Postal Address for Program:____________________________________________________________________Postcode:__________ Phone Number:______________________________Email:___________________________________ Name of Dance school:__________________________________________________________________________ Name of Parent / Guardian:_____________________________________________________________ By submitting this registration form, you agree to abide by the rules set out by The Dance Attack Challenge. HOW TO ENTER : SNAIL MAIL: Simply fill out the details and mail your entry with your payment. Cheques/money orders are to be made payable to: The Dance Attack Challenge POST ENTRIES TO: Dance Attack Challenge PO BOX 3437, Tuggerah, NSW, 2259 ON A COMPUTER: Include all the details outlined on this entry form in an email to us. Pay your entry fees by direct deposit into: Dance Attack Challenge BSB: 012623 Account Number: 203248946 Attach the proof of transfer/payment receipt to the email & send it all to us. Email: [email protected] STYLE AGE jazz,tap,ballet etc Competition Entry Fees Improvisations : $10 Solos : $15 Duos/Trios : $30 Championships (soloist) : $30 Champion Of Champions (soloist) : $40 Troupes : $30 STANDARD COST Specially restricted,restricted, open,novice champ,championship PROGRAM (includes postage) LATE FEE ($5 per act) TOTAL: $8.50