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ON-LINE ENTRY FORM
42nd THISTLE 'CITY OF BRISBANE' CHAMPIONSHIPS
44th THISTLE HIGHLAND DANCING COMPETITION
ENTRIES CLOSE: 10 MARCH 2017
NAME
Address
Phone DOB
Email Age on day
REG. No Studio
Championship age group Champ Nos
Classification Dance Nos
Premier Dancer: tick if you have not been placed 1st, 2nd or 3rd overall in a registered Championship
TOTAL DANCE FEES
Entry Fee:
$25.00 per Championship
$5.00 per Section & Title Dance Admin fee: $7.00
Cheque/money order payable to: Thistle Highland Dancing Studio Auxiliary
Direct credit: Thistle Highland Dancing Studio Auxiliary
Bank: CBA
B.S.B: 064-110
A/C: 00902126
Reference: First initial and family name of entrant e.g. J Smith
I hereby agree that my child/I will abide by the rules of these Championships and Competition.
Please tick the box above
ENTRIES: Competition Organiser: Jodie Midgley
Post: 85 Carr Court, Mt Samson, Q 4520
Home: (07) 3289 4238 Mobile: 0405 144 286
Email: thistlestudio@hotmail.com