DANCEXPLOSION OFFICIAL ENTRY FORM
 MAR 25-27 - SYRACUSE, NY - Onn Center
All entries MUST be postmarked four (4) weeks prior to competition;
Late Entries must send a Bank Check or Money Order only, and must include 10% LATE FEE

USE A SEPARATE FORM FOR EACH ENTRY

Check One:  

c Solo

c Duet/Trio

c Sm. Group (4-9)

c Lg. Group (10-19)

c Line (20 or more)

c Xtended Sm. Group

c Xtended Lg. Group

c Xtended Line

Name:___________________________________________________

Solo Age: ________   Date of Birth :_____________ Duet/Trio-Group Age:________

For Duet/Trio, Groups and Lines, please
print names and birthdays of contestants
on backside of Entry Form or list names
on a separate sheet and attach to this form.

If Duet/Trio, Group or Line, please list average age as of the competition date.

Address:_________________________________________________________________________________

City:____________________________________ State: ____________________ Zip Code:_____________

Studio Name:_____________________________________________________________________________

Studio Address:___________________________________________________________________________

Email Address:____________________________________________________________________________

Teacher's Name:_______________________________Studio Director:______________________________

Phone:_(    )______________________________________Fax #:_________________________________
Costume Color: _____________________ Performance Division: c Novice (Dancers competing 3 years or less)
c Xtreme (Dancers competing 4 years or more)
c Pro-Am (Groups/Lines consisting of Students & Teachers)

Category (check one)

Entry Fees (check one)

  

c Acro

c Contemporary

c Lyrical

c Hip-hop

c Modern

c Vocal

c Pointe

c Folkloric

c Pantomime

c Musical Theater

c Baton

c Production (Line Only)

c Ballet

c Cheerleading/Drill Team

c Jazz

c Clogging

c Open

  Fashion Modeling/Sports Wear

c Tap

  c Sportswear

c Character

  c Formal Wear

c Song & Dance

  c Swimwear

c Drama

c Pom-pon

c FEMALE SOLO

$85.00

_$___________

c MALE SOLO

$85.00

_$___________

Duet/Trio

$90.00

_$___________

Groups/Lines

  Per Person   #_____  @ $30.00

=

_$___________

Xtended Groups

  Per Person  #_____ @ $35.00

=

_$___________

Photogenic

$25.00

_$___________

Costume

$25.00

_$___________

Total Entry Fees

_$___________

(This Form Only)

ENTRY FEES ARE NOT REFUNDABLE

If entering with a studio, please
send one check for all entries

Name of Music or Routine:_____________________________________________

We hereby release the director of this competition from any and all claims for damages and injuries which we may sustain while participating in any activity connected with this competition.

Make checks payable to
Dance X Plosion Talent Tour
U.S. FUNDS ONLY

Release Signature:____________________________________________________

                  Must be signed by a Parent or Guardian for any contestant under the age of 18
Mail to: Dance X Plosion   3280 Sunrise Highway #73, Wantagh, NY 11793
(516)781-3400    Fax (516)731-8416