His Name_____________________________________________________ Her Name_____________________________________________________ Address______________________________________________________ Address______________________________________________________ City_________________________State_________Zip_________________ City_________________________State_________Zip_________________ E-mail________________________________________________________ E-mail________________________________________________________ Phone____________________________UCWDC#____________________ Phone____________________________UCWDC#____________________ Male Signature_______________________________Date___________________ Female Signature_________________________________Date___________________ His DOB_________________ Her DOB_________________ ☐ Night Club ☐ Newcomer ☐ Intermediate ☐ Hustle ☐ Novice ☐ Advanced CLASSIC DIVISIONS SHOWCASE DIVISIONS ☐ West Coast Swing ☐ Masters ☐ Two Step ☐ Masters ☐ Silver I ☐ Masters ☐ Diamond ☐ Open I ☐ Silver II ☐ Open I ☐ Teen ☐ Open II ☐ Silver III Leader Name______________________________________________ ☐ OPEN III ☐ Silver IV Crown ☐ Open IV ☐ Gold II / I ☐ Crown Showcase ☐ Crown Classic ☐ Open Syllabus A ☐ Gold III ☐ Crown Plus Showcase ☐ Crown Plus Classic Follower Name____________________________________________ ☐ Open Syllabus B ☐ Gold IV ☐ Crystal I ☐ Teen Combined DANCES ☐ Crysta II ☐ Teen Newcomer ☐ Triple Two ☐ Waltz ☐ Crysta III ☐ Youth Combined ☐ Polka ☐ Two Step ☐ Diamond I ☐ Youth Newcomer ☐ Night Club ☐ East Coast Swing ☐ Diamond II ☐ Primary Combined ☐ Cha Cha ☐ West Coast Swing EVENT PASSES Before 03/18 After 03/18 Total ☐ Diamond III ☐ Primary Newcomer ☐ Showdance ☐ Solo Medley ☐ Diamond IV ☐ Syllabus A B C D Weekend Pass $115 $135 ( Circle ) Includes Workshops Day Pass $60 $70 Includes Workshops ☐ Male Student ☐ Female Student DOB____________________ Dance Only Pass $20 $20 CLASSIC DIVISION LEVEL Friday & Saturday after 9pm ☐ Open ☐ Platinum ☐ Syllabus A ☐ Newcomer ☐ Crystal ☐ Silver III ☐ Syllabus B ☐ Novice Thursday Night Dance $10 $10 ☐ Diamond ☐ Teen ☐ Syllabus C ☐ Intermediate Free to Weekend Pass Holders ☐ Silver ☐ Youth ☐ Syllabus D ☐ Advanced ( Starts at 7pm ) ☐ Gold ☐ Primary ☐ Int / Adv Combined SHOWCASE DIVISION PRO PRO DANCE FEES ( per Dance ) ☐ Open ☐ Teen ☐ Open Classic I ☐ Diamond Classic I ☐ Daimond ☐ Youth ☐ Open Classic II ☐ Diamond Classic II UCWDC Couples, Line & Pro $16 $21 ☐ Open Showcase ☐ Diamond Showcase Quantity___________________ UCWDC DANCES Showtime / UCWDC Teams $30 $35 ☐ Triple Two ☐ Polka ☐ Night Club ☐ Cha Cha Quantity___________________ ☐ Waltz ☐ Two Step ☐ East Coast Swing ☐ West Coast Swing Contemporary Pro-Am $16 $21 Pro #1__________________________________________UCWDC#___________________ Quantity___________________ Pro #2__________________________________________UCWDC#___________________ Processing Fee $5 $5 $5 TOTAL ☐ Male Student ☐ Female Student DOB____________________ CLASSIC DIVISION LEVEL ☐ Open ☐ Gold ☐ Newcomer ☐ Crown ☐ Crystal ☐ Teen ☐ Novice ☐ Risingstar ☐ Diamond ☐ Youth ☐ Intermediate ☐ Superstars ☐ Silver ☐ Primary ☐ Advanced Mail Registration to: SHOWCASE DIVISION UCWDC DANCES San Diego Dance Fesival Make Checks Payable to: ☐ Open ☐ Ris & Fall ☐ Stage c/o Carmen & Marnie Mattei SAN DIEGO DANCE FESTIVAL ☐ Diamond ☐ Pulse ☐ Dance A 16044 S 15th Dr. ☐ Teen ☐ Smooth ☐ Dance B Phoenix, AZ 85045 ☐ Cuban ☐ Solo Medley ☐ SOCIAL Division: 1 2 3 (circle) ☐ Street To get earlybird discount, registration must be postmarked / received by March 10, 2018. THERE ARE NO REFUNDS - Please fill out form carefully. UCWDC COUPLES DIVISIONS UCWDC PROAM PROPRO DIVISIONS UCWDC LINE DANCE DIVISIONS 2019 SAN DIEGO DANCE FESTIVAL Submission of this form stipulates the following: “Each signatory and all parties listed above agree to hold the organizers of this event and their agents, heirs and assigns harmless from all suits, claims or demands of every kind and character arising out of and in conjunction with this event. We hereby authorize the reproduction, sale, copyright, exhibition, broadcast and/or distribution of any event still photography or videotape without limitation. We understand the physical risks of entering dance competitions and social dancing and assume full responsibility for any injury or personal damages resulting from the event named above. Competitors hereby consent to the UCWDC exclusive collection and use of all data supplied on this form for tracking and publicizing our event results and agree to receive news about UCWDC standings and activities. We certify that we are 18 years of age or older. Stipulations apply to Legal Guardian if applicant is under 18 years of age.” CONTEMPORARY PRO-AM Note: All UCWDC competitors must have Assoiate Membership number