L.A. DanceMagic
Magic Performer National Finals

 

* required fields
*Student First Name:
*Student Last Name:
*Age:
*Phone:
*Email:
   
*Studio Name:
*Teacher First Name:
*Teacher Last Name:
*Phone:
   
Check either: Magic Performer of the Weekend
Magic Performer Runner Up
City & Date you won this scholarship/award?
What LADM regional city did you attend this season?
Have you ever tried out for Magic Performer of the Year? Yes
No
  If yes:
Year:
Junior, Teen, or Senior?:
I will be attending National Finals 2012:
(Choose One)		 As an independent
With my studio
Will you be competing a solo?
(strongly recommended)		 Yes
No
   
  Female
Male
   
→ Women's Costume Fee: $50.00
→ Men's Costume Fee: $25.00
 
Agreement - Please Read Carefully
The undersigned acknowledges full responsibility and jointly and severally hereby forever releases, discharges and acquits L.A.DanceMagic, including Dave Carter, Jackie Sleight and all associates from any and all contracts, claims, suits, actions liabilities, for damages or injuries of any kind resulting from any sort of participation at L.A. DanceMagic Final Cut. This release shall be binding upon and inure to the representatives. In addition, I on behalf of the parties registered authorize L.A.DanceMagic the use of their image for any and all advertising purposes.
I have read and understand the above agreement. No Yes



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