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Male Competitor Full Name:
Female Competitor Full Name:
Male... Reg No:
Phone No:
Email
Address:
Female...
Reg No:
Phone No: Email
Address:
AGE GROUP:
Please Tick the appropriate box/boxes.
Sub Juvenile
Juvenile
Junior
Youth
Adult
Masters I
Masters II
Professional
ENTRY LEVEL:
Please Tick the appropriate box/boxes.
Conditions of
Entry: By
lodging an entry with the organiser represents a commitment to compete.
Under the Rules of DanceSport, competitors are required to advise
organisers if they are subsequently unable to compete. It is a condition
of entry that all couples abide by the rules of DanceSport Australia.
In the event of
television coverage or production of a Video Recording for commercial
purposes of any event, all competitors agree that the rights to all fees
from such recordings will vest with the organisers,
including any still photographs or digital images
taken during the event, that can and may be used for commercial
purposes, either in advertising or on relevant websites to promote our
sport.
For inquiries
regarding this Entry Form. Contact: The Secretary's email
dmia@westnet.com.au
or Fax (08)
9526 2135.
By entering any event you have agreed to the Conditions of Entry.
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