1ST DAVAO DANCE FESTIVAL AND CHAMPIONSHIP 2019

October 24, 2019 Abreeza Mall, Davao City

OFFICIAL COMPETITION ENTRY FORM
(BALLROOM AND CLUB DANCES)
REQUIREMENTS
Completely filled-out Entry Form 2x2 pictures each
Photocopy of birth certificate (for participants under 18 y/o) Complete entry fee
Certficate of Employment (for DepEd/ Private Institution Teachers)
COMPETITORS' INFORMATION
REGION REPRESENTED COACH
MALE PARTNER Date of Birth (MM/DD/YYYY)
Last Name First Name Middle Initial 2 x 2 picture

Address
Mobile No. Landline Email
School (if applicable)

FEMALE PARTNER Date of Birth (MM/DD/YYYY)

Last Name First Name Middle Initial
2 x 2 picture

Address
Mobile No. Landline Email
School (if applicable)
EVENTS (Please check the event/s you wish to enter)
BALLROOM
MODERN STANDARD DISCI[PLINE LATIN AMERICAN DISCIPLINE
Juvenile C Youth C under Entry Fee: Juvenile C under Youth C Entry Fee:
under 12 18 (W/T/Q) Php700.00 12 (S/C/J) (C/R/J) Php 700.00
(W/T/Q)
Entry. fee: Entry fee:
Junior C under
Php 500.00 16 (C/R/J) Php 500.00
Junior C under AmateurAW/T Entry Fee: Amateur A Entry Fee:
16 (W/T/Q) /VW/SF/Q) Synchronize/Duo (Duo-w/o (S/C/R/PD/J)
Php 2,000.00 partners) Php 2000.00
D-2 dance(C,J)

Junior 10-Dance Championship (W/T/VW/SF/Q/ S/C/R/PD/J) Entry Fee: Php 700 Youth 10-Dance Championship (W/T/VW/SF/Q/ S/C/R/PD/J) Entry Fee; Php 800.00

DepEd/ CHED/ Pubic and Private High School Teachers (Close Entry Fee: Php 2.000)
Single (Cha cha cha) Single (Rumba) Single (Jive) Latin C (C,R.J)

CLUB DANCES Entry Fee: Php 2,000

Argentine Tango Bachata Kizomba
Certification and Waiver
We hereby certify that all information entered above are correct and accurate, and shall be the basis for qualification and approval of our participation in the registered event(s). Furthermore, we
understand that falsification of any personal information can disqualify us from the competition. We shall abide by the rules of RDCD and the 1ST DAVAO DANCE FESTIVAL AND CHAMPIONSHIP in their
final decision and hereby absolve them of any obligation for any injuries, damages, or losses we may sustain in the course of preparation and execution of this competition.

MALE PARTNER'S SIGNATURE FEMALE PARTNER'S SIGNATURE

PARENT/GUARDIAN'S SIGNATURE ABOVE PRINTED NAME (under 18 y/o) PARENT/GUARDIAN'S SIGNATURE ABOVE PRINTED NAME (under 18 y/o)
DEADLINE OF SUBMISSION OF ENTRY FORMS: September 30, 2019 DEADLINE OF PAYMENT: October 12, 2019
Email entries to: regionaldancecouncil.davao@gmail.com Deposit to: BPI- Account No. 2033-1476-59
Account Name: REGIONAL DANCESPORT COUNCIL OF DAVAO
Date submitted: Received by: Signature: Entry Fee(s) due amount: