Entry Form GB DANCE

Complete a separate form for each participant for each entry. Copy this form as required.


Participant Information
Participant’s Name: ____________________________________________________ Sex (M or F) ___________
Address:___________________________________________________________________________________
City ___________________________________________________________ Post Code __________________
Phone Number _______________________________ Email __________________________________________
Birth Date _____________________ Age _________ Parent’s Name ___________________________________

Dance School Information
School Name ______________________________________________________________________________
Director’s Name ____________________________________________________________________________
School Address _____________________________________________________________________________
City ____________________________________________________________Post Code __________________
Phone Number ________________________________Email _________________________________________

Dance Entry Information
National International
Entry Category: Solo Ensemble
Dance Category: Classical Ballet Contemporary Dance Jazz Dance Folk Dance
Age Category: Division I (Under 9) Division II (9-14) Division III (14-18)
Entry Title _________________________________________________________________________________
Choreographer __________________________________ Teacher ____________________________________
Entry Running Time ______________________________

Entrance Fees
Registration Fee & Workshops Fee, per person…...…………………….…£48.00
Solo…………….......................................................  £25.00x ______  = £__________
Pas de Deux, per person……………………………. £20.00 x ______ = £__________
Duo or Trio, per person…………………………..… £15.00 x ______ = £__________
Ensemble, 4+ persons, per person………………...... £10.00 x ______ = £__________
Total Due…………………………………………………………….......£__________
Please make checks payable to GB Dance Festival

Entrance Fees Group participant from abroad
Participation fee in BG Dance and Music Festival 2017 GROUPS: The Fee is £550 for each dancer and chaperone participant.

SPECIAL OFFER FOR ADDITIONAL DAYS
We are able to plan additional days BEFORE January 2nd on the same hotel and rooms at your disposal during the Festival at the
charge of £50 per day per person.
Additional charges for single room: £50 per day
Additional charges must be paid together the PARTICIPATION FEE

I understand there are no refunds. I have read the rules and regulations and understand that the GB Dance Festival
is not responsible for any injuries my child sustains at the competition, performance,or workshops.
I understand that GB Dance Festival is not responsible for any loss of personal items during the competition and workshops.
I do not mind that during the Festival there will be filming and audio recording of my performance and I give full approval for the recordings of my performance to be used for audio and video tapes aiming advertisement.

Parent/Guardian Signature ______________________________ Date _________


Postal Address

GB Dance Festival
82 Hurstwood Road
Temple Fortune
London
NW1 10AU
United Kingdom
Telephone:+44 (0) 775 445 25 25
Fax +44 (0) 207 833 0502
E-Mail: info@gbdance.com