Ballroom Beach Bash Entry Form

MIB Leader Only Friday Single Dances


Type of entrant - check one:
Adult lady pro/am Adult gentleman pro/am
Student name
Last: First:
Teacher name
Last: First:
Age divisions - check as many as apply to ALL dances in category:
A1
A2
A3
B1
B2
C1
C2
Dance levels - check as many as apply to ALL dances in category:
Newcomer
Beg. Bronze
Int. Bronze
Full Bronze
Open Bronze
Open Adv Bronze
Pre Silver
Beg. Silver
Int. Silver
Full Silver
Open Silver
Open Adv. Silver
Pre Gold
Beg. Gold
Int. Gold
Full Gold
Open Gold
Open Adv.
Check dances to be entered:
MIB Waltz
MIB Tango
MIB Foxtrot
MIB Viennese Waltz
Peabody