Gentleman's First Name: Lady's First Name:
Gentleman's Last Name: Lady's Last Name:
Gentleman's address Lady's address
City, State, Zip City, State, Zip
Gentleman's USABDA Number: Lady's USABDA Number:
School or Studio Name: School or Studio Name:
Student Adult
Student Adult
Phone Number: Phone Number:
E-mail: E-mail:

Please select the primary level you will be competing in (You may compete in only one level for each style... e.g you can dance in silver latin and bronze standard but not silver latin and bronze latin.):

Key: C=Cha-Cha, F=Foxtrot, J=Jive, M=Mambo, PD=Paso Doble, Q=Quick Step, R=Rumba, S=Samba, Sw=Swing, T=Tango, VW=Vienese Waltz, W=Waltz. Dances grouped in parentheses are Two, Three, Four, or Five Dance events.
Syllabus Events Am. Smooth Am. Rhythm Int. Standard Int. Latin
Newcomer W F
C R Sw
W Q
C R J
Bronze
W F T
C R Sw
W Q T
C R S J
Silver
(W F) T
(C R Sw) M
(F Q) (W T)
(C R) (S J) PD
Gold
(W T F VW)
(C R S M)
(W T F Q)
(C R S J)
Open Events        
Novice
(W T F)
(C R Sw)
(W T Q)
(C R S J)
Pre-Championship
(W T F VW)
(C R Sw B)
(W T Q F)
(C R S J) PD
Championship
(W T F VW)
(C R Sw B M)
(W T Q F VW)
(C R S J P)
Fun Events (Open to all)
Reverse Role Rumba Reverse Role Swing West Coast Swing
Hustle Salsa Merengue
Registration Fees: Qty: Total to be sent:
Fees:

$15 per student competitor

$20 per adult competitor
Late fee: $5 per couple after March 5th, 2000
Grand Total to be sent:
Comments / Special instructions: