Kempsey Dance Eisteddfod - Solo/Duo/Trio Registration Form
PLEASE READ BEFORE ENTERING
Entry Form Structure: Championship Sections: Start by entering the championship sections along with qualifying solos. If you do not wish to enter championships please move to the next page. Scholarship Sections: Next, fill in the scholarship sections and qualifying solos. If you do not wish to enter scholarships please move to the next page. Remaining Solos: Any remaining solos should be entered on the third page. If you have entered a solo as part of the championship or scholarship qualifiers, it will not be an option on this page. Duos and Trios: Finally, enter the duo/trio if applicable. PLEASE REVIEW YOUR ENTRY PRIOR TO SUBMISSION
Parent/Guardian details
Name
*
First Name
Last Name
E-mail address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State
Post Code
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Competitor Details
Name
*
First Name
Last Name
Address (if different to the parent/guardians details above)
Street Address
Street Address Line 2
City
State
Post Code
Dance Studio
*
Please Select
*** Not Attending School
Allstars Studio
Andrea Rowsell Acadeny Of Dance
Carnivale
Clarence River Dance Academy
Danae Cantwell School of Dance
Dance Elite Forster/Tuncurry
Dynamic Studios Dance & Aerial Arts
Elite Dance Company
ExtravaDance Studios
EXTREME DANCE STUDIOS
Garvey School of Dance
Gladstone Public School
Harbour Performing Arts Centre
Julie Ross Dance Studio
Kerrie Renee Dance Studio
La Vive studios
Lake Cathie Public School
Port Macquarie Performing Arts
Rivers Dance Centre’86
SODA Grafton
Star Central Dance Academy
Woolgoolga Performing Arts Studio
Other
If other,
*
Date of Birth
*
-
Day
-
Month
Year
Date
Target Date
-
Day
-
Month
Year
Date
Age
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Championships
Please read entry requirements per discipline on p.13 of the Syllabus www.kempseyeisteddfod.org/dance Championships are $21.00 per entry. Accompanying Solos (including improvisations) are $15.00 per entry. You will not be able to enter the solos that are required for championships on the solo section page (page 5) please enter all applicable solos here. If you do not wish to enter championships please hit "next" to navigate to the next page.
Classical Ballet Championship - must select championship AND Classical ballet Solo AND AT LEAST ONE of Variation or Demi Character solo
Classical Ballet Championship ( must perform one classical ballet solo and one demi character solo)
Classical Ballet Open Solo
Character/Demi Character Open Solo
Classical Variation Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Championship Classical
Championship Demi
Classical Ballet Open Solo
Character/Demi Character Open Solo
Classical Variation Open Solo
You are eligible to enter the Classical Ballet Scholarship - would you like to enter?
*
Yes
No
Contemporary Championship - must select all 3 options
Contemporary Championship (must perform one Contemporary solo and one Contemporary improvisation solo)
Contemporary Open Solo
Contemporary Improvisation Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Championship Contemporary
Contemporary Open Solo
You are eligible to enter the Contemporary Scholarship - would you like to enter?
*
Yes
No
Jazz Championship - must select all 3 options
Jazz Championship (must perform one jazz solo and one jazz improvisation solo)
Jazz Open Solo
Jazz Improvisation Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Championship Jazz
Jazz Open Solo
You are eligible to enter the Jazz Scholarship - would you like to enter?
*
Yes
No
Lyrical Championship - must select all 3 options
Lyrical Championship (must perform one lyrical solo and one lyrical improvisation solo)
Lyrical Open Solo
Lyrical Improvisation Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Championship Lyrical
Lyrical Open Solo
You are eligible to enter the Lyrical Scholarship - would you like to enter?
*
Yes
No
Tap Championship - must select championship and at least 2 of the 3 solo options
Tap Championship (must perform one speed tap one slow tap)
Tap Open Solo
Speed Tap Open Solo
Slow/Waltz Tap Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0.00)
Championship Speed Tap
Championship Slow Tap
Tap Open Solo
Speed Tap Open Solo
Slow/Waltz Tap Open Solo
You are eligible to enter the Tap Scholarship - would you like to enter?
*
Yes
No
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Scholarships
Please see entry requirements per discipline below. All dancers in BOTH novice and open sections are eligible to enter a scholarship class in that discipline. See p14 of the syllabus at www.kempseyeisteddfod.org/dance for further information Entering a scholarship section allows the competitor to participate in a scholarship class held with the adjudicator. Based on the performance in the class setting the adjudicator will award placings. Entry fees for a a scholarship is $26.00 per discipline. Accompanying solo entry fees are $15.00. If you do not wish to enter scholarships please hit "next" to navigate to the next page. If certain scholarships are missing from this page it is because you have either opted in OR out of the scholarship on the previous page. Please hit back if you wish to enter the scholarship for that genre.
Contemporary Scholarship - must select scholarship and one other option below
Contemporary Scholarship
Contemporary Open Solo
Contemporary Novice Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Contemporary Open Solo
Contemporary Novice Solo
Classical Ballet Scholarship - must select scholarship and at least one option below
Classical Ballet Scholarship
Classical Ballet Open Solo
Classical Ballet Novice Solo
Character/Demi Character Open Solo
Character/Demi Character Novice Solo
Classical Variation Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Classical Ballet Open Solo
Classical Ballet Novice Solo
Character/Demi Character Open Solo
Character/Demi Character Novice
Variation Open Solo
Jazz Scholarship - must select scholarship and one other option below
Jazz Scholarship
Jazz Open Solo
Jazz Novice Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Jazz Open Solo
Jazz Novice Solo
Lyrical Scholarship - must select scholarship and one other option below
Lyrical Scholarship
Lyrical Open Solo
Lyrical Novice Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Lyrical Open Solo
Lyrical Novice Solo
Tap Scholarship- must select scholarship and at least one option below
Tap Scholarship
Tap Open Solo
Tap Novice Solo
Speed Tap Open Solo
Speed Tap Novice Solo
Slow/Waltz Tap Open Solo
Slow/Waltz Novice Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Tap Open Solo
Tap Novice Solo
Speed Tap Open Solo
Speed Tap Novice Solo
Slow/Waltz Tap Open Solo
Slow/Waltz Tap Novice Solo
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Solos
All solo entry fees - including improvisations are $15.00 per solo. If certain genres of solos are missing from this page it is because you have already entered the solos for that genre as part of a championship and/or scholarship section/s on pages 3 or 4. This is to prevent accidental double entries.
All Abilities Solo
All Abilities Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
All Abilities Solo
Any style ( 6yrs and under OPEN)
Any style Open
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Any other style Open
Baby Dance Solo (5yrs and under)
Baby Dance Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Baby Dance Solo
Character/Demi Character Solo
Character/Demi Character Novice Solo
Character/Demi Character Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Character/Demi Character Novice Solo
Character/Demi Character Open Solo
Classical Ballet or Classical Variation Solo
Classical Ballet Novice Solo
Classical Ballet Open Solo
Classical Variation Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Classical Ballet Novice Solo
Classical Ballet Open Solo
Classical Variation Open Solo
Contemporary Solo
Contemporary Novice Solo
Contemporary Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Contemporary Novice Solo
Contemporary Open Solo
Hip Hop Solo
Hip Hop Novice Solo
Hip Hop Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Hip Hop Novice Solo
Hip Hop[ Open Solo
Jazz Solo
Jazz Novice Solo
Jazz Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Jazz Novice Solo
Jazz Open Solo
Lyrical Solo
Lyrical Novice Solo
Lyrical Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Lyrical Novice Solo
Lyrical Open Solo
Tap Solo
Tap Novice Solo
Tap Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Tap Novice Solo
Tap Open Solo
Speed Tap Solo
Speed Tap Novice Solo
Speed Tap Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Speed Tap Novice Solo
Speed Tap Open Solo
Slow/Waltz Tap Solo
Slow/Waltz Tap Novice Solo
Slow/Waltz Tap Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default
*
Rows
Performance Time (0:00)
Slow/Waltz Tap Novice Solo
Slow/Waltz Tap Open Solo
Own Choreography Solo
Own Choreography Novice Solo
Own Choreography Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Own Choreography Novice Solo
Own Choreography Open Solo
Song and Dance Solo
Song and Dance Novice Solo
Song and Dance Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Song and Dance Novice Solo
Song and Dance Open Solo
Variety Solo
Variety Novice Solo
Variety Open Solo
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Variety Novice Solo
Variety Open Solo
Improvisations
Character/ Demi Character Improvisation Solo
Character/ Demi Character Improvisation Novice Solo
Character/ Demi Character Improvisation Open Solo
Classical Ballet Improvisation Solo
Classical Ballet Improvisation Novice Solo
Classical Ballet Improvisation Open Solo
Contemporary Improvisation Solo
Contemporary Improvisation Novice Solo
Contemporary Improvisation Open Solo
Jazz Improvisation Solo
Jazz Improvisation Novice Solo
Jazz Improvisation Open Solo
Lyrical Improvisation Solo
Lyrical Improvisation Novice Solo
Lyrical Improvisation Open Solo
Mystery Improvisation Solo
Mystery Improvisation Solo
Tap Improvisation Solo
Tap Improvisation Novice Solo
Tap Improvisation Open Solo
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Duos/Trios
Duo/Trio sections are $18.00 per entry. Please list the details of the additional partners below.
Duo
Duo
Trio
Trio
Performance Times (write 0.00 if not selected, if unsure use 3.00 default)
*
Rows
Performance Time (0:00)
Duo /Trio
Name of second Duo/Trio Partner
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Age
Name of Third Trio Partner
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Age
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Sponsorship
Would you like to support a section at Kempsey Dance Eisteddfod? An official tax receipt will be issued for any sponsorship received within 7 business days to your email address on this form. If you have any questions please email kempseyeisteddfod@hotmail.com For businesses wishing to sponsor the Eisteddfod please see www.kempseyeisteddfod.org/sponsorship.
Section Sponsorship
Yes
No
Section Type
Junior (10yrs and under) - $25.00
Senior (11yrs and over) - $40.00
Championship Trophies ONLY ($50.00)
Jnr Championship (250.00)
Intermediate Championship($300.00)
Senior Championship ($500.00)
Jnr Scholarship ($300.00)
Snr Scholarship ($500.00)
General Sponsorship
$1.00
$2.00
$5.00
$10.00
$20.00
$50.00
Style Perference (i.e jazz, tap, classical etc)
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Solo Cover Charge - $25.00 for solo entry. This allows unlimited entry for all spectators during the solo performances.
*
Please Select
Solo
Duo/Trio Cover Charge - if you have entered a duo/trio a discounted rate of $40 for both/all 3 competitors will apply
*
Please Select
Duo/Trio
Administration Charge
Total Solo Entry Fees (including $10 administration charge to cover insurances, copyright costs, online program)
Total Solo Entry Fees (including $10 administration charge to cover insurances, copyright costs, online program plus 2.2 % for transaction fees) & $25.00 late fee
By entering this Eisteddfod I agree that
*
I have read and understood the rules listed in the syllabus on the Kempsey Eisteddfod website www.kempseyeistedd.org/dance
I understand non-adherence to the rules outlined in the syllabus and in the code of conduct may result in disqualification from the Eisteddfod
If the competitor is under 18 years of age, the parent or guardian accepts these Terms and Conditions on the Participant’s behalf
By participating in the Kempsey Eisteddfod, you agree to allow the Kempsey Eisteddfod Society to use and publish photos or videos taken during events. Images will not include full names or personal information without consent. If you do not consent to the use of your images, inform the President in writing before the event.
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Payment Method
*
Please Select
Invoice
Credit Card
Entry Fee
*
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AUD
Solo/Duo/Trio Entry Form
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Submit Form
Once submitted you will recieve an email to the email address provided, confirming your entry. If you have not recieved an email please check your junk / spam box as sometimes they filter directly there.
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