5. Miss Dance Form

MISS DANCE OF GREAT BRITAIN (Promoted by the International Dance Teachers’ Association) Entry Form 2013 NOTE: Please fill in all parts of this form – competitors will need to sign the official entry form on arrival st The entry fee of £6 only applies to entries received before the closing date – Sunday 1 September. Any places available after the closing date will be allocated on a first come first served basis and the entry fee will increase to £10. Please return this form and entry fee to the address below to reserve your place in the heat. No refunds will be offered for absentees, or people qualifying at an earlier heat! Competitor Name: Address: Town: Tel: Postcode: Mob: DOB: Email: Cheques Payable To: “Danum Festival of Dance” Please return to: Danum Festival of Dance 38 East Crescent Duckmanton Chesterfield S44 5ET DD MM YY