Wisconsin State Dance Championships Entry Form

Rhythm Single Dance


Type of entrant - check one:
Adult lady pro/am Adult gentleman pro/am Adult amateur
Gentleman name
Last: First:
Lady name
Last: First:
Age divisions - check as many as apply to ALL dances in category:
A1 (19-27)
A2 (28-35)
B1 (36-43)
B2 (44-50)
C1 (51-55)
C2 (56-60)
S1 (61-70)
S2 (71-75)
S3 (76-80)
S4 (81+)
** MIXED **
LA1 (19-27)
LA2 (28-35)
LB1 (36-43)
LB2 (44-50)
LC1 (51-55)
LC2 (56-60)
GA1 (19-27)
GA2 (28-35)
GB1 (36-43)
GB2 (44-50)
GC1 (51-55)
GC2 (56-60)
Dance levels - check as many as apply to ALL dances in category:
Novice Bronze
Pre-Bronze
Intermediate Bronze
Full Bronze
Novice Silver
Pre-Silver
Intermediate Silver
Full Silver
Novice Gold
Pre-Gold
Intermediate Gold
Full Gold
Open Pre Bronze
Open Intermediate Bronze
Open Full Bronze
Open Bronze
Open Pre Silver
Open Intermediate Silver
Open Full Silver
Open Silver
Open Pre Gold
Open Intermediate Gold
Open Full Gold
Open Gold
Open Advanced
Proficiency Novice Bronze
Proficiency Pre Bronze
Proficiency Intermediate Bronze
Proficiency Full Bronze
Proficiency Open Bronze
Proficiency Open Pre Bronze
Proficiency Open Intermediate Bronze
Proficiency Novice Silver
Proficiency Pre Silver
Proficiency Intermediate Silver
Proficiency Full Silver
Proficiency Open Silver
Proficiency Novice Gold
Proficiency Pre-Gold
Proficiency Intermediate Gold
Proficiency Full Gold
Proficiency Open Gold
Check dances to be entered:
Cha Cha
Rumba
Swing
Bolero
Mambo