Solo Dancer's Name
City Age on Dec.31/11
Group's Name of Dance
City Average Age on Dec.31/11
Teacher's Name
Studio
Address
City Postal Code
Phone
E-mail
NUMBER OF PROGRAMS REQUESTED at $10 PER PROGRAM
PLEASE MAIL PROGRAM(S) TO MY ADDRESS or MY TEACHER'S ADDRESS
TOTAL FEES & PROGRAM COSTS
Note: Groups (duets, trios, quartets) should complete one form and pay one fee. Please list names of individuals in your group below.
The Festival will try to accommodate scheduling requests listed below.
Please complete, print and sign the form. Then mail it, along with your cheque or money order for the total fee, to the Festival office: Kiwanis Festival of the Performing Arts, Box 844, Stratford ON N5A 6W3.
I understand that personal information on this entry form will be used for Festival purposes only. I have read the rules set out in the Syllabus and agree to comply with them.
Date
Signature (entrant if 18, teacher or parent)
Please Print Your Name
Immediately following performances and during adjudications, Kiwanis Festival staff take PHOTOGRAPHS for the festival website and publications. If you do not wish your photo to be taken or published, please attach a note to your entry.
LATE ENTRIES jeopardize the schedule. That is why entries postmarked after January 19th, 2012 will be assessed a late-entry fee of $10 per class entered.
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