Boogie Fever USA Competition Entry Form

Print or type and complete all questions w Use a separate sheet for each entry w Duplicate forms as needed

Studio/School ___________________________________________________

Competition City _________________________________________________

Routine Name ____________________________________________________

Choreographer ___________________________________________________

DIVISION:  q Solo     q Duet     q Trio         q Photogenic

q Small Group (4-8 performers) q Large Group (9-15 Performers) q Super Group (16 + Performers)

Soloist Name: _____________________________________Age _____ DOB _______

Soloist considered for Mister & Miss Dance USA Semi-Finalist? q YES   q NO

(If Selected will be expected to compete for the national title June 20^th in Fort Mill, SC)

Duet/Trio/Group Names and ages should be listed on back of this entry form!

Actual Average Age: __________ (Group Dancer ages as of January 1^st, 2009)

q Mini 6 & under    q Petite 7-9   q Junior 10-12   q Teen 13-15   q Senior 16-21

COMPETITIVE LEVEL

q RECREATIONAL DIVISION (Less Than three hours of class per week)

q COMPETITIVE DIVISION (Open to all, regardless of class time per week)

Include solo & duet/trio practice time in this decision! Be Honest! Thank You!

CATEGORY

q Acrobatic     q Ballet     q Baton      q Character    q Clogging     q Contemporary

q Ethnic          q Hip-Hop q Jazz       q Lyrical           q Modern       q Musical Theater

q Novelty        q Open      q Photo     q Pointe           q Pom Pon    q Production

q Tap              q Variety Arts              q Vocal

$65.00 each Solo        ______________        $25.00 per Photogenic ________________

$36.00 per person duet/trio                 _____________ x $36.00 each = $_____________

# of Group performers in this routine _____________  x $22.00 each = $____________

Any performers competing in a performing arts competition takes certain inherent risks. Participation in this competition indicates the acceptance of such risks by performers.                                 Therefore the undersigned will not hold DANCE MACHINE PRODUCTIONS DBA Boogie Fever USA or any of it’s officers, directors, staff, or employees responsible for injuries,                        illness, or damages sustained while participating in any activity related to a DANCE MACHINE PRODUCTIONS DBA Boogie Fever USA event.  Contestants and teachers                                    by entering this competition give DANCE MACHINE PRODUCTIONS DBA Boogie Fever USA their permission and consent to use their images or photographs or appear                                    in videos, on our website or any other electronic media for advertising, news coverage, or any other commercial use of our events.

Signature of Studio Director (or person legally responsible) _______________________________________________