The Official British Open Amateur and Professional Salsa Championships and the

3rd Annual North West Open Amateur Salsa and Bachata Championships

Application Form for Dance Showcase

Saturday 18 April 2009

 

Deadline for entries, including payment, is Saturday 11 April 2008

 

Group Name:

 

Name of Lead Contact:

 

Contact Address for Solo, Couple or Group:

 

 

Postcode:

 

Tel No:

 

Mobile:

 

e-mail:

 

Signature of Lead Contact:

 

Date:

 

 


Number of Dancers in Group:

Please list names on page 2

 

Please tick your selections:

 

Category:

 


Under 16                                              16 and Over

Note: All dancers must be under 16 to enter the under 16 category.

 

 

Dance Showcase Entry Fee: (Includes entry into event)

 

£10 per dancer             £5 per dancer under 16s                       Total Enclosed

 

Please make cheques payable to Salsanorthwest and send to: 1 Kingsbridge Close, Penwortham, Preston, PR1 9UR

 

We agree to adhere to the rules and regulations as published on the Salsanorthwest site

 

Note: All dancers (or parent/guardian for under 16s) must sign a waiver form on the evening


 

Deadline for entries, including payment, is Saturday 11 April 2009

 

Group Name:

 

Names of Dancers

 

            Firstname                                           Surname                                 DOB (under 18’s)

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Salsanorthwest, 1 Kingsbridge Close, Penwortham, Preston, PR1 9UR Tel 01772 752081 Mob 07899866408

www.salsanorthwest.co.uk

E-mail: phil@salsanorthwest.co.uk