Kempsey Dance Eisteddfod Troupe Entry Form
Please read the syllabus for all the rules and time limits that apply to various sections.
Name
*
First Name
Last Name
Email
*
example@example.com
Postal Address
*
Street Address
Street Address Line 2
City
State
Post Code
Is your postal address the same as the School/Studio Address?
*
Yes
No
School/Studio Address
*
Street Address
Street Address Line 2
City
State
Post Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dance Studio / Education School Name
*
Please Select School Type
*
Dance / Performing Arts Studio
Education School
Community Group
Number of Teacher Passes required
*
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Dance Studio Troupes
Age for all competitors is at 1 January 2025 - A minimum of 4 competitors is required for all troupes - Small troupes are 4-9 competitors in total. Please Select Group A for each style you wish to enter. Only select Group B if you are entering 2 troupes per style.
5 years and under
Any style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Performance Times (write 0.00 if not selected, if unsure use 4.00 default) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Any Style Group A
Any Style Group B
Any Style Group C
Any Style Group D
6 years and under
Jazz Group A
Modern/Lyrical Group A
Any other style Group A
Jazz Group B
Modern/Lyrical Group B
Any other style Group B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Modern/Lyrical Group A
Any other style Group A
Jazz Group B
Modern/Lyrical Group B
Any other style Group B
8 years and under
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
10 years and under
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Hip Hop A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Hip Hop B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Hip Hop A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Hip Hop B
12 years and under
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Bollywood Group A
Hip Hop Group A
Small Jazz Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Bollywood Group B
Hip Hop Group B
Small Jazz Group B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Bollywood Group A
Hip Hop Group A
Small Jazz Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Bollywood Group B
Hip Hop Group B
Small Jazz Group B
14 years and under
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Small Jazz Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Small Jazz Group B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Small Jazz Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Small Jazz Group B
Open Age
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Bollywood Group A
Hip Hop Group A
Small Jazz Group A
All Comers Group A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Bollywood Group B
Hip Hop Group B
Small Jazz Group B
All Comers Group B
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Jazz Group A
Classical Ballet Group A
Modern/Lyrical Group A
Tap Group A
Contemporary Group A
Theatrical Entertainment Group A
Bollywood Group A
Hip Hop Group A
Small Jazz Group A
All Comers A
Jazz Group B
Classical Ballet Group B
Modern/Lyrical Group B
Tap Group B
Contemporary Group B
Theatrical Entertainment Group B
Bollywood Group B
Hip Hop Group B
Small Jazz Group B
All Comers B
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Education School Groups
Years K-2 Education School Group
Any style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Any Style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Years 3-6 Education School Group
Any style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Any Style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Years 7-12 Education School Group
Any style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Any Style Group A
Any Style Group B
Any Style Group C
Any Style Group D
All Abilities Dance Group (any year group or ages welcome)
Any style Group A
Any Style Group B
Any Style Group C
Any Style Group D
Performance Times (if unsure use 4.00 default, however a more accurate performance time allows for a more accurate program ) & Number of competitors requiring a ribbon if places are awarded (place 0 if not entering that section/group)
*
Rows
Performance Time (0.00)
Number of Competitors
Any Style Group A
Any Style Group B
Any Style Group C
Any Style Group D
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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
Bronze Level - $750.00
Silver Level - $1000.00
Gold Level - $1500.00
Style Preference(i.e. jazz, tap, classical etc.)
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Administration Charge
Total Cost for Troupe entry fees (including $10 administration charge to cover insurances, copyright costs, online program and transaction fees)
Total Cost for Troupe entry fees (including $10 administration charge to cover insurances, copyright costs, online program plus 2.2% transaction fees)
By entering this Eisteddfod I agree that
*
I have read and understood the rules listed in the syllabus on the Kempsey Eisteddfod website www.kempseyeisteddfod.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
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. The Society decides who can take photos or videos at events. If you do not consent to the use of your images, inform the President in writing before the event.
Payment
*
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Dance Troupe Entry form
Payment Methods
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Afterpay
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