Middle School NationalsMarch 24, 2018

Long Beach Convention Center ArenaRegistration Due: February 23, 2018

School:_______________________ Address:_______________________________________

Coach:__________________ Phone:______________ E-mail:_________________________

Total # of participants: Female____ Male_____

Part ATeam Divisions: $250 per routine (Please check all that apply)

Category Duet/Trio(2-3) Extra Small(4-5) Small(6-8) Large (9+)Jazz __________ __________ __________ __________Contemporary__________ __________ __________ __________Lyrical __________ __________ __________ __________Hip Hop __________ __________ __________ __________Kick __________ __________ __________ __________Pom __________ __________ __________ __________Open __________ __________ __________ __________Character __________ __________ __________ __________Military __________ __________ __________ __________Co-ed __________ __________ __________ __________All Male __________ __________ __________ __________ Total # of team dances____ X 200 = $_______ Total fee for team dances

Part B (March 23, 2018)Improv Solos: $75 per entry (unlimited)

Name Style (Contemporary, Hip Hop)______________________ ________________________________ ________________________________ ________________________________ ________________________________ __________Total # of improv solos_____ X 65= $________

Part C (March 23, 2018)Contact Improv (2-3 dancers): $75 per entry (unlimited)

Name Style (Contemporary, Hip Hop)______________________ ________________________________ ________________________________ __________

Total # of contact improv entries______ X 65= $_________ Part D (March 23, 2018)Solos: $139 per entry (unlimited)Soloist’s Name Grade____________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _____

Total # of solos_____ X 139= $________

Part ETotal Part A $_____ Total Part B $_____ Total Part C $_____Total Part D $_____Total Amount Due (Please add A-D together) $__________

Please remit payment to:WCE Dance

2060 Avenida de los Arboles, Ste.D #336Thousand Oaks, CA 91362

Total Amount enclosed $______________ Check_____ Visa____ Mastercard____ Discover____Card #__________________Exp. Date_____CVC Code____Cardholder’s Name_____________Cardholder’s Address___________________________________________________________

If paying by credit card a 3% service charge will be added to total.