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Le VIP Danse Sport 2016
PRO-AM SINGLE DANCE
Dead line: February 29 2016
Please fill the form
HEEL PROTECTORS MANDATORY
Studio:________________________________________
Address:__________________________________________
City:_____________________________________
Province:__________________________________________
Country:_________________________________
Postal code:___________________________
Instructor:______________________________________
Email:_____________________________________________
NDCC Pro #:____________________________________
Competitor’s name:_________________________________________________
Age Division
Junior A
Junior B
Youth
12 & under
13-15
16-18
LEVEL
AGE
Male:_____
Female: _____
ADULT
A: 19-35
B: 36-50
C: 51-60
D: 61-70
E: 71 +
SMOOTH
RHYTHM
BALLROOM
LATIN
Beginner
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Beginner
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Bronze
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Bronze
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Interm / Bronze
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Interm / Bronze
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Bronze
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Bronze
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Silver
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Silver
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Silver
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
silver
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Gold
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Pre-Gold
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Interm/Gold
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Interm/Gold
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Gold
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Gold
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Gold Star
Close
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
W T VW F Q
C S R PD J
Gold Star
Open
W T F VW
C R SW MAM MER SAM PD HUS WCS SAL BAC ARG
WT VW F Q
C S R PD J
Please send your registration and order form by mail, email or fax to:
Le VIP Danse Sport
64 rue de Fontenelle
Gatineau, QC J8T 8K9
www.levipdansesport.com
[email protected]
Phone : 819-664-1948
Fax : 1-855-650-1997