NVBall2022_EntryformsPrintable

Type of entrant - check one:

Adult lady pro/am

Adult gentleman pro/am

Adult amateur

Youth lady pro/am

Youth gentleman pro/am

Youth amateur

Gentleman name

Last:

First:

Lady name

Last:

First:

Age divisions - check as many as apply to ALL dances in category:
T1 (6-9)
PT2 (10-11)
JR (12-15)
A (16-20)
A1 (21-30)
A2 (31-40)
A3 (41-50)
B1 (51-60)
B2 (61-70)
C1 (71-80)
C2 (81+)

Dance levels - check as many as apply to ALL dances in category:
Bronze
Silver
Gold

Dance name: