Sophisticated Productions Competition Form

Download a printable version of this form.

Location:

COMPETITION FORM 2012

One form per routine

Studio Name:

Studio Owner:

Address:

City:                                                                 State:                                   Zip:

Day Phone:                             Studio Phone:                                   Fax:

Email:

How did you hear about Sophisticated Productions?

_____ Returning Client	_____ Mailing	_____ UMDA Conference
_____ Internet	_____ Dance Teacher Magazine	_____ Referral_________________
_____ Website	_____ Dance Teacher Summit Conference	_____ Other:_________________

Is your studio planning on attending Sophisticated Productions Nationals in Wildwood, NJ July 15-21, 2012? Yes _____ No _____

Age Division:		Division:
4 - 6	15 - 16	Solo	Student Choreograph Title
7 - 8	17 - 18	Duo / Trio	Dance 4 College Title
9 - 10	19 - 24	Small Group (4 - 8 Dancers)
11 - 12	25 & Up	Large Group (9 - 16 Dancers)
13 - 14		Line / Production (17+ Dancers)
Category:		Classification:
Jazz Tap Lyrical Open Musical Theater Character Hip Hop Acro Contemporary	Modern Pom Pom Clogging Ballet Pointe Song / Dance Voice Other _____	Novice Less than two hours per week of dance class Intermediate Three to four hours per week of dance class Advanced I Five to six hours per week of dance class Advanced II Seven or more hours per week of dance class Pre-Pro Competitors who perform with a teacher or a professional teacher Professional Dancers who make a salary, teachers, assistants, or a professional dancer Student Choreographed Routines choreographed by the students

Teacher (s):____________________________________________________

Name of Routine:___________________________________ Time:_________

Does your performance have props?   Yes ___ No ___

Does performance start ON or OFF stage? _____

Please Print or Type all dancers names and dates of birth on the back of this form for each routine.

TOTAL AMOUNT FOR THIS ROUTINE ____________    15% Code # ______

Studios MUST submit a 15% Code # to receive the 15% discount.

Sophisticated Productions ONLY accepts payments by Certified Bank Checks OR Money Orders. Make certified checks and money orders payable to Sophisticated Productions.

For your convenience,
Please copy this form and provide Sophisticated Productions with ONE MASTER SHEET of ALL Parent / Guardian Signatures for the dance competition.

Student's Name	Age	D.O.B.	Parent / Guardian	Fee
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We the above signed parent/guardians release Sophisticated Productions Dance Competition from all claims for damages, lost items or injuries which may occur while participating in any activity connected with Sophisticated Productions Dance Competitions.			TOTAL	$

Please make payment payable to:

Sophisticated Productions

Melissa R. Tessier: Owner / Director
33 Stuart Place · Westfield, MA 01085
(413) 568-4815 · Fax (413) 562-9132
www.sophisticatedproductions.com