Entry Code: Hong Kong Challenge Cup Dance Competition 2015 Entry Form - Solo/ Duo/ Trio [Please send the entry form and fee to the organizer on or before 30 April 2015] ✽One form for one entry Duo Divisions: Solo ✽Fill in block letter ✽Please tick where appropriate Trio [If troupe members are of different ages, the troupe will be put in the division according to the age of the eldest member. (Age counts as at 31 Dec 2015)] Category Age Group Toddler 4–6 Ballet 8 or under 9 – 12 13 – 15 16 – 29 Jazz 7–9 10 – 12 13 – 15 16 – 29 Hip Hop 7–9 10 – 12 13 – 15 16 – 29 Name (Chinese) Name (English) Length of Music Gender Date of Birth Double Entry Name of Dance (Eng.) Name of Dance (Chi.) Teacher Telephone Contact Person Telephone Email Address Postal Address School Note: To show your respect to the teacher, this entry form should be signed by your dance teacher/school. Declaration I hereby declare that I have read and agreed to the Rules and Regulations without any objections. I must bear my own risk and liability for any accident occurs. The organizer is not responsible to any claim for damage or loss whatever. I understand the photos or videos of the event will be published on Inspired Dance Company (IDC) website and printed matter for promotion of the event. I accept IDC’s intention to use my personal data to communicate with me on updates, events, projects and membership. Enclosed enrolment fee in a crossed cheque payable to IDEA (cheque no. , Amount ) , or a copy of the transaction slip for depositing into the IDEA account at HSBC (account no. 110-654399-001). Signature of Teacher/School:___________________________________________ Date:_______________ Entry Code: Hong Kong Challenge Cup Dance Competition 2015 Entry Form – Troupe [Please send the entry form and fee to the organizer on or before 30 April 2015] ✽One form for one entry ✽Fill in block letter ✽Please tick where appropriate Jazz Categories: Ballet Troupe 15 age or under Hip Hop 16 – 29 age Group Name Name of Dance (English) Name of Dance (Chinese) No. of Contestant (4-20 members) Length of Music [If troupe members are of different ages, the troupe will be put in the division according to the age of the eldest member. (Age counts as at 31 Dec 2015)] Name (Chinese) Name (English) Gender Date of Birth Double Entry Please take photo copy if necessary Teacher Telephone Contact Person Telephone Email Address Postal Address School Note: To show your respect to the teacher, this entry form should be signed by your dance teacher/school. Declaration I hereby declare that I have read and agreed to the Rules and Regulations without any objections. I must bear my own risk and liability for any accident occurs. The organizer is not responsible to any claim for damage or loss whatever. I understand the photos or videos of the event will be published on Inspired Dance Company (IDC) website and printed matter for promotion of the event. I accept IDC’s intention to use my personal data to communicate with me on updates, events, projects and membership. Enclosed enrolment fee in a crossed cheque payable to IDEA ( cheque no. , Amount ) , or a copy of the transaction slip for depositing into the IDEA account at HSBC (account no. 110-654399-001). Signature of Teacher/School:____________________________________________ Date:_______________
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