Personal Best Middle Eastern Dance Competition Registration Form

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					Personal Best Middle Eastern Dance Competition
               Registration Form
                         (http://www.freewebs.com/personal_best)
                                     c/o Angela Worley
                                      4898 Lunar Drive
                                    Columbus, OH 43214
                                   July 21st and 22nd 2007
Name: _______________________________________________________
Email: _______________________________________________________
Phone: _______________________________________________________
Address: ______________________________________________________
         ______________________________________________________
Pre-registration fees (higher at the door if space is available-see fee schedule)
__ $10 Invitational Show spectator
__ $10 contest spectator: __ Saturday __ Sunday
__ $15 contest spectator both days

Fees for Children under 12:
__ $5 Invitational Show spectator
__ $5 contest spectator: __ Saturday __ Sunday
__ $10 contest spectator both days

$________ Total enclosed

Registration cut off is July 6, 2007(postmark). If after this date, please email Angela at
safia_al_zarqa@yahoo.com to determine if space is available. After this date fees will
increase by $5 for Contest Category entries.

Troupes consist of 2 or more people. Troupe entries must be mailed together with their
separate registration form. Troupes/duets can enter the Folkloric competition if and
only if the style being performed is usually done in a group in the country/area of its
origin.

By signing below, you agree to accept all liability from personal injury or property loss
relating to participation in this event. You also agree to abide by the rules as stated on
contest website. No refunds.

You understand that all parts of the competition will be videotaped by a contracted
videographer and will be available for purchase. No other videotaping is permitted.

Signature:_______________________________________ Date:_____________
Parent/Guardian Signature if under 18: __________________________________
                 Make Checks payable to Angela Worley