2021 ValenTwirl Baton & Dance Competition

2021 ValenTwirl Baton & Dance Competition

February 2021
Athlete Name: *

First Name Last Name
Parent/Guardian Name: *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email: *
example@example.com
Phone Number: *

Area Code Phone Number
Coaches Name: *
Club Name: *
Age: (as of December 31st, 2020) *
Athlete's Age Category: *

0-6 years 7-9 years 10-12 years 13-15 years 16 - 20 years 21+ years
Will you be entering the "live" zoom competition or the pre-recorded video submission competition? *

LIVE PRE-RECORDED

I agree to the rules outlined in the "2021 Valen-Twirl Baton & Dance Competiton" brochure. I assume the inherit risks associated with participating in this comeptition and will not hold the organizers repsonsible (Kim Genton, Amy Kalin and Jenna Jemieff) and any other person, corporation or organization associated with the operation of this event. I give the Valen-Twirl directors permission to use any images/videos in the final awards presentation. I have read and understand this waiver.
I agree to the waiver listed above *

YES NO
Parent/Guardian Name *

First Name Last Name
Date *

Month Day Year
Date
Registration & entry fees are due January 25th, 2021.

* PAYPAL PAYMENT: PLEASE SEND PAYMENT AS "SENDING TO A FRIEND" VS PAYING FOR AN ITEM/SERVICE *

SEND ENTRY FEES TO: TRICKORTWIRL@GMAIL.COM ON PAYPAL
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