Gaby's Dance Studio Club Inc.

Open Dance Competition & 13th Birthday Ball - Saturday, 20th July 2013
Olympus Room, Hellenic Club, 1 Matilda St. Woden ACT, Australia
Entries close 11:00pm Tuesday 16th July 2013

(Fill in one form per person,  then SUBMIT to us with your payment)

Name:
Address:
Post Code:
Email:
Phone:
Mobile:
Dance School:

Ticket Information

Ticket Type:
Meal Type:

Competition Entrant Information

Please complete the below form for the events you would like to compete in

West Coast Swing (Please note, this is not a World Swing Dance Council Registry Event)
Strictly Swing:
Strictly Swing Partner:
Jack & Jill:
Battle of the Sexes:
Battle of the Sexes Partner:

International Style Latin - Triple Step Jive, Rumba & Cha Cha Cha
Freestyle:
Freestyle Partner:
Dance with a Stranger:
Battle of the Sexes:
Battle of the Sexes Partner:

Modern Jive
Freestyle:
Freestyle Partner:
Dance with a Stranger:
Battle of the Sexes:
Battle of the Sexes Partner:
 
Cabaret:     Team:     Numbers: 

Waiver

Please read this waiver carefully. By submitting this application you agree to this waiver.

I understand that Gaby's Dance Studio Club Inc. (GDS) may wish to record my participation in the competition by video, film or by photograph. I give GDS the right to use any such recordings in any and all media, by whatever ways or means and with no obligation to me. Such recordings are the sole property of GDS and may be used for promotional purposes. I understand that dance is an athletic sporting activity and that GDS takes no responsibility whatsoever for any injury to persons in relation to this competition. I understand that all personal belongings are the sole responsibility of their owners and GDS takes no responsibility for damage, theft or loss. Gaby's Dance Studio Club Inc. (GDS) is not liable or responsible for faulty or defective prizes. GDS shall not be liable for any loss or damage whatsoever which is suffered (including but not limited to direct or consequential loss) or for any personal injury suffered or sustained in connection with any prize/s. All additional costs are the responsibility of the prize winner, including any costs associated with delivery of the item. Prizes are non-transferable and cannot be redeemed for cash. I have read this waiver, fully understand and agree to comply.

I agree to the waiver.

Payment

Payment by:

To download payment option details as a PDF please CLICK HERE

To download event details as a PDF please CLICK HERE

Payment options will also appear after pressing the "Submit to GDS" button.

Please NOTE:  Cheques or Money Orders should be made to "Gaby’s Dance Studio Club"and mailed to 15 Baracchi Cr. Giralang ACT 2617

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