DMIA Fremantle Championship 14th October  

Closing Date: 1st October 2012

Venue: Swan Italian Club

 
 

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PLEASE NOTE: When entering your details please press 'TAB' to go to the next entry, or use your Mouse.
DO NOT PRESS ENTER
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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.

  Sub Juvenile Beginner Sub Juvenile Non Beginner Level 1 Level 2 Level 3 Level 4  Level 5 Open
Standard
 
Latin
 
New Vogue
 
                 
                 

Other Events                 Youth    Noel Day Trophy    Joseph Palermo Trophy

 

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.                            

 

Copyright  2012 DMIA Entry Form