Sophisticated Productions Competition Form
COMPETITION FORM 2014
One form per routine
|City: State: Zip:|
|Day Phone: Studio Phone: Fax:|
How did you hear about Sophisticated Productions?
|_____ Returning Client||_____ Mailing||_____ UMDA Conference|
|_____ Internet||_____ Dance Teacher Magazine||_____ Referral_________________|
|_____ Website||_____ Google Search||_____ Other:_________________|
Is your studio planning on attending Sophisticated Productions Nationals in Wildwood, NJ July 20-26, 2014? Yes _____ No _____
|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)|
Song / Dance
| Jr. Competitive Four hours or less per week of dance class.
Sr. Competititve Five or more hours per week of dance class.
Are your Students planning on attending the convention?
Convention is open to dancers who participate in the dance competition ONLY. Please submit a list of your dancers attending the convention.
Name of Routine:___________________________________ Time:_________
Does your performance have props? Yes ___ No ___
Is performance Student Choreographed? Yes ___ No ___
Please Print or Type all dancers names and date 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 will ONLY ACCEPT MONEY ORDERS OR CERTIFIED BANK CHECKS. Please include studio name on all certified checks and money orders made payable to Sophisticated Productions.
For Sophisticated Productions Office Use Only
|Total Number of Dancers______||Fees_______||15% Fee______|
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|
|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:
Melissa R. Tessier: Owner / Director
33 Stuart Place · Westfield, MA 01085
(413) 568-4815 · Fax (413) 562-9132