Pageant Entry Form
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DMIA Dance Pageant 
Sunday 20th March 2016
Closing Date: 10th March 2016

PLEASE NOTE: When entering your details please press 'TAB' to go to the next entry, or use your Mouse.
DO NOT PRESS ENTER
on the keyboard...as the form will pre-send without you completing it.

Important Note: Please enter the event numbers in the box/boxes from the Screed details...Thank You!

Studio Name
Email Address
Medallist Name Standard Latin New Vogue Tri Style Open Street Latin Rock N' Roll Parent & Own Child
Studio Team Name Juvenile/Junior Teams Match Adult/Masters Teams Match

This section below is for Entry into RECREATIONAL EVENTS ONLY...

Male Recreational Competitor Full Name:         

Male...     Barcode/CID No:     Phone No:     Email Address

Female Recreational Competitor Full Name:   

Female... Barcode/CID No:    Phone No:      Email Address:

IMPORTANT NOTE: PLEASE USE YOUR CID NUMBER WHEN ENTERING FROM YOUR DANCESPORT AUSTRALIA REGISTRATION CARD WHICH WILL BE LOCATED UNDER THE BARCODE AT THE BOTTOM OF YOUR CARD. THANK YOU!

Please view our Screed & Conditions of Entry at our website www.dmia.org.au and Tick the appropriate numbers in the box/boxes BELOW.

  Recreational  Open "Couple" Recreational Open "Individual"
  Juvenile Junior Adult Masters/Seniors Juvenile Junior Adult Masters/Seniors
Standard 35 WQ 63 WQ 81 WQ 130 WQ 32 WQ 60 WQ 78 WQ 107 WQ
Latin 36 CCC,J 64 CCC,J 82 CCC,J 131 CCC,J 33 CCC,J 61 CCC,R 79 CCC,J 108 CCC,R
New Vogue 37 PW,E3S 65 PW,E3S 83 PW,M 132 PW,M 34 PW,E3S 62 PW,M 80 PW,M 109 PW,M

By entering any event you have agreed to the Conditions of Entry.          
 

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