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 V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Beginner Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Bronze Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Bronze Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Interm / Bronze Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Interm / Bronze Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Bronze Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Bronze Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Silver Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Silver Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Silver Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J silver Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Gold Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Pre-Gold Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Interm/Gold Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Interm/Gold Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Gold Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Gold Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Gold Star Close V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Gold Star Open V T F VV C R SW MAM MER SAM PD HUS WCS SAL BAC ARG BOL V T VV F Q C S R PD J Please send your inscription and order form to: Stéphane Sauvé 64 rue de Fontenelle Gatineau, Qc J8T 8K9 Email to: OR [email protected] Fax to: 855-650-1997
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