Wisconsin2025_EntryformsPrintable

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:
A (19-35)
B (36-50)
C (51-60)
S1 (61-70)
S2 (71-75)
S3 (76-80)
S4 (81+)

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

Check dances to be entered:
Night Club Championship (Hustle/NightClub2 Step/WC)
Night Club Championship (Hustle/Salsa/Bachata/Merengue)
Country Western Championship(Waltz/NC 2Step/WC Swing)