2010 NBTA Colorado Colors Online Entry Form Open Contest and Miss Fall Festival Pageant October 2, 2010 Entry Deadline September 13th Evangelical Covenent Gym- Fort Collins, CO
First name, last name, date of birth and e-mail address are required fields. First Name: Last Name: Date of Birth: Month select month January February March April May June July August September October November December Day select day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year select year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 Address: City: State: Zip: Phone: E-mail Address: Teacher: Please check event(s) and/or indicate division(s) below. As changes are made, the total fee displayed at the bottom of the form is automatically adjusted. Press the Submit button at the bottom of the form when completed. Novice Miss Fall Festival $15.00 Beginning Miss Fall Festival $20.00 Intermediate Miss Fall Festival $25.00 Advanced Miss Fall Festival $30.00 Modeling $7.00 Novice Beginning Advanced Fall Sportswear Modeling $10.00 Beginning Advanced Basic Strut $7.00 Novice Beginning Intermediate Advanced Military $7.00 Beginning Intermediate Advanced USTA Presentation $7.00 Beginning Intermediate Advanced X Strut $7.00 Novice Beginning Intermediate Advanced Solo $7.00 Presolo Novice Beginning Intermediate Advanced Visitor's Solo $7.00 Novice Beginning Intermediate Advanced Rhythmic Twirl (Advanced Only) $8.00 2 Baton $7.00 Novice Beginning Intermediate Advanced Boy's Solo $7.00 Rifle $7.00 Flag $7.00 Beginning Advanced Hoop $7.00 Beginning Advanced Ribbon Non-sanctioned $7.00 3 Baton $7.00 Show Twirl $8.00 Duet each $7.00 Novice Beginning Advanced Partner & Age: Trio each $7.00 Partner & Age: Partner & Age: Pom Solo $8.00 Pom Duet each $7.00 Partner & Age: Solo Ratings $5.00 X-Strut Ratings $5.00 Half Page Ad $10.00 Full Page Ad $20.00 SUBTOTAL OF EVENTS: $ Processing Fee (per family): If family processing fee has already been paid in another form, please click this checkbox: $ TOTAL AMOUNT DUE: $ Once you have completed the form, click this button to submit your entry -------> Once the form is completed, then please press the "Submit Entry Form" button. Please make all checks payable to: Ann Durkin Mail to: Ann Durkin 1639 Ukiah Lane Fort Collins, CO 80525 PLEASE BE SURE TO PRINT OUT WAIVER, SIGN IT AND SEND IN WITH PAYMENT! Home BELOW IS FOR CONTEST DIRECTOR INFORMATION ONLY
First Name: Last Name:
Date of Birth: Month select month January February March April May June July August September October November December Day select day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year select year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985
Address: City: State: Zip:
Phone: E-mail Address:
Teacher:
Once you have completed the form, click this button to submit your entry ------->
Once the form is completed, then please press the "Submit Entry Form" button.
Please make all checks payable to: Ann Durkin Mail to: Ann Durkin 1639 Ukiah Lane Fort Collins, CO 80525 PLEASE BE SURE TO PRINT OUT WAIVER, SIGN IT AND SEND IN WITH PAYMENT!
Ann Durkin
Mail to:
PLEASE BE SURE TO PRINT OUT WAIVER, SIGN IT AND SEND IN WITH PAYMENT!
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BELOW IS FOR CONTEST DIRECTOR INFORMATION ONLY