BC Ukrainian Cultural Festival Official Dance Entry Form

BC Ukrainian Cultural Festival Official Dance Entry Form
Please submit a separate form for each entry you wish to register

Deadline: March 1st
Festival Year:*
Submission #:*
(Numbered 1-15) Please keep track of each dance entry form submission number. This will be used in the Entries Tally Form in the Competition Registration Forms. The Submission number will be attached to the PDF file name.
Entry Name:*
(Please print name as desired for publication in Festival program)
Dance Group/Troupe:*
Select a group category:*

Mixed GroupGirls' GroupBoys' Group
Select a region/style category:*

BukovynianHutsulPoltavaTranscarpathianCharacter*PryvitHopakPolissian**Volyn**Other
Select an age category:*

6 & under7 – 1011 – 1415 – 1819 – 21***22 & over****
Entry length:*
Minutes & Seconds
* Only (1) entry is permitted per dance group. Character dances ‘10 & under’ will be combined to a single age category.

** Only (1) entry is permitted from Volyn, Polissian, or ‘other’ regions per age category.

*** Only (1) ’19 – 21’ entry is permitted per dance group. Entry qualifies for its applicable region/style category trophy.

**** Only (1) ’22 & over’ entry is permitted per dance group. Entry only qualifies for the ‘Dr. Josef Oleskow’ trophy.
Name of Instructor:*
First & last name
Phone Number of Instructor:*
Name of Person in Charge:*
First & last name
Phone Number of Person in Charge:*
Address*

Address

Street Address Line 2

CityState / Province

Postal Code
Contact Email Address:*
NOTE: A copy of this submission will be sent to the above email
Entry Fee Breakdown
Dance Registration Fee:
1 @10.00/ Entry
Per Dancer Fee:
# of dancers* @$6.00/ Dancer
Total Fee for Entry Enclosed*
E-transfers must be addressed to register@bcucf.ca

All cheques or money orders are to be addressed to: BC Ukrainian Cultural Festival Society, 8078 161 Street, Surrey, BC, V4N 0J9

Do not send cash. Please ensure that a separate ‘Official Dance Entry Form’ has been completed for each entry you wish to register. Please refer to Terms & Conditions attached or contact BCUCFS directly via email with any questions.
Signature:*

Clear
Date:*

MonthDayYear
Date

Competitors List*

	Name of Competitors (All competitors must be listed in alphabetical order)	Male	Female	Date of Birth	Age (As of March 1st)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Should be Empty:

BC Ukrainian Cultural Festival Official Dance Entry Form

Entry Fee Breakdown