Brad Payment Test Your browser currently has JavaScript disabled. This form requires JavaScript. Please enable JavaScript and refresh the page to enable and view the form. If you don’t know what this means, the following page explains how to enable JavaScript in the most popular web browsers: How to enable JavaScript in your browser 2021 Premier Winter Festival - Session 2 - Saturday January 9, 2021 Important Information Dances in Session 2 Junior High Syllabus Newcomer American Rhythm Swing Junior High Syllabus International Waltz Junior High Syllabus International Quickstep Junior High Syllabus International Samba Junior High Syllabus International Rumba Junior High Syllabus American Smooth Foxtrot Junior High Syllabus American Rhythm Cha-Cha Junior High Syllabus American Rhythm Mambo Dynamic Entry Form This is a dynamic (responsive) registration form. Dance styles and categories will be hidden and shown based on your age and grade. Required fields are marked with an asterisk (*) Events For an event list, please click here. Rules and Regulations By electronically signing this entry form you agree to abide by the Premier Ballroom Academy Rules and Regulations. You must also agree to the heel guard rules (heel guards in good condition are required for all ladies shoes except block heels). Parents must electronically sign the forms of anyone 18 years old and under. Online Payment and Tickets Registration and tickets must both be completed and purchased before your registration is complete. Each session is ticketed and registered separately. After entering your info and selecting your events, you will pay the registration fee and purchase tickets through PayPal. You don't need to have a PayPal account to pay. Competition Fees The fee to compete is $10 per couple for the first event. Each additional event is then $5. The admission to the competition (for both competitors and spectators) will be $5 for dancers and chaperones in each session, which must be purchased beforehand during registration. There will be no ticket sales at the door. Payment and Registration Due Dates Your registration is not complete until you have: registered for your events and tickets paid through PayPal Entries due December 31, 2020 January 1, 2021 and later - each entry form will have a $10 late fee. Schedule posted by January 4, 2021We understand the rules and regulations, including COVID-19 considerations. We agree to abide by all rules and regulations.* We agree The waiver and release can be viewed by clicking here. The rules and regulations can be viewed by clicking here. StudioPartnership Studio or InstructorPartnership InformationMan/Leader Name* First Last Lady/Follower Name* First Last Man/Leader Phone Number*Please enter the Man/Leader's phone numberLady/Follower Phone Number*Please enter the Lady/Follower's phone numberMan/Leader Email* Please enter the Man/Leader's email addressLady/Follower Email* Please enter the Lady/Follower's email addressMan/Leader Chaperone Name*All Elementary age dancers must have a chaperoneLady/Follower Chaperone Name*All Elementary age dancers must have a chaperoneMan/Leader Chaperone Phone*Lady/Follower Chaperone Phone*Man/Leader Chaperone Email* Lady/Follower Chaperone Email* Man/Leader's Age*5678910111213141516171819What will the Man/Leader's age be on January 9, 2021?Man Age ScoreLady/Follower's Age*5678910111213141516171819What will the Lady/Follower's age be on January 9, 2021?Lady Age ScoreCouple Age ScoreMan/Leader Grade*Select Grade012345678910111213Please enter the Man/Leader's grade in school Enter "0" for KindergartenMan Grade ScoreLady/Follower Grade*Select Grade012345678910111213Please enter the Lady/Follower's grade in school Enter "0" for KindergartenLady Grade ScoreCouple Grade Score Step 2: Your EventsSelect the events below that you would like to danceDue to your age and/or grade, you are ineligible to compete in the events of this session. Please check the other sessions for events that match your age/grade. Newcomer EventsElementary Newcomer Swing Elementary Newcomer (Sw) Syllabus Latin EventsElementary Syllabus Latin Samba Elementary Syllabus Latin (S) Elementary Syllabus Latin Paso Doble Elementary Syllabus Latin (PD) Syllabus Ballroom EventsElementary Syllabus Ballroom Waltz Elementary Syllabus Ballroom (W) Elementary Syllabus Ballroom Quickstep Elementary Syllabus Ballroom (QS) Syllabus American EventsElementary Syllabus American Foxtrot Elementary Syllabus American (FT) Elementary Syllabus American Cha Cha Elementary Syllabus American (CC) Elementary Syllabus American Mambo Elementary Syllabus American (Mambo) Admission TicketsEach session is ticketed individually. Everyone entering the venue must have an admission ticket for each session. However, you only need 1 ticket per person. Please indicate below if you already have a ticket from a registration with another partner.Man/Leader TicketDoes the man/leader need a ticket for Session 1? (Leave blank if you already purchased a ticket for Session 1 in another registration) Yes, the man/leader needs a ticket Man/Leader Chaperone TicketDoes the man/leader's chaperone need a ticket for Session 1? (Leave blank if you already purchased a ticket for Session 1 in another registration) Yes, the man/leader needs a ticket Lady/Follower TicketDoes the lady/follower need a ticket for Session 1? (Leave blank if you already purchased a ticket for Session 1 in another registration) Yes, the man/leader needs a ticket Lady/Follower Chaperone Ticket Yes, the man/leader needs a ticket Does the lady/follower's chaperone need a ticket for Session 1? (Leave blank if you already purchased a ticket for Session 1 in another registration) SignaturesMan Signature*Please enter your name to indicate that you have read all rules and regulations for this competition and agree to those conditions. You agree to abide by any additional rules, when applicable, in the NDCA rulebook or of Premiere Ballroom Academy. You agree to abide by all rulings of the judges’ committee and/or sponsors of this event.Lady Signature*Please enter your name to indicate that you have read all rules and regulations for this competition and agree to those conditions. You agree to abide by any additional rules, when applicable, in the NDCA rulebook or of Premier Ballroom Academy. You agree to abide by all rulings of the judges’ committee and/or sponsors of this event.Man's Parent Signature*You warrant that you are over (18) years of age and are the legal guardians of the listed competitors and have all right, power and authority to make such an agreement. Lady's Parent Signature*You warrant that you are over (18) years of age and are the legal guardians of the listed competitors and have all right, power and authority to make such an agreement.Heelguards required* I agree I understand that heelguards in good condition are required for all ladies (except block heels). If I do not have heel guards that cover my heel, I will purchase some at the competition. Registration ConfirmationRegistration fees for the first event is $10.00 then $5.00 each for more events. Please verify your dances below Elementary Newcomer (Sw)Price: $5.00Elementary Syllabus Latin (S)Price: $5.00Elementary Syllabus Latin (PD)Price: $5.00Elementary Syllabus Ballroom (W)Price: $5.00Elementary Syllabus Ballroom (QS)Price: $5.00Elementary Syllabus American (FT)Price: $5.00Elementary Syllabus American (CC)Price: $5.00Elementary Syllabus American (M)Price: $5.00Man/Leader TicketPrice: $5.00Man/Leader Chaperone TicketPrice: $5.00Lady/Follower TicketPrice: $5.00Lady/Follower Chaperone TicketPrice: $5.00 Partnership Registration TotalCoupon Late Fee Price: $10.00 Processing Fee Price: $2.00 2021 Premiere Winter Festival Price: $0.00 Total $0.00
