NV Ball Entry Form
Adult Pro/Am Nightclub Championships
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:
A (18-35)
B (36-50)
C (51+)
SR (61+)
Dance levels - check as many as apply to ALL dances in category:
Bronze & Silver
Gold-Open
Dance name: