MAIL TO: 944 SPENCE AVENUE, COQUITLAM BC V3J 4V5 www.peakinvitational.

ca
6 EVENTS!! MAR 1 - 5/11
(check one) Bell Centre, SURREY BC
Entry Deadline: Dec 1/10
April 26 - May 1/11
Centennial Theatre, NORTH VAN
Entry Deadline: Feb 7/11
APRIL 9 - 17/11
MJF Theatre, BURNABY BC
Entry Deadline: Jan 10/11
May 7 - 13/11
Abbey Arts, ABBOTSFORD BC
Entry Deadline: Nov 15/10**
APRIL 20 - 23/11
Myer Horowitz, EDMONTON AB
Entry Deadline: Jan 20/11
May 19 - 23/11*
Westin Resort, WHISTLER BC Entry Deadline: Jan 26/11

INFO:
PLEASE USE A SEPARATE FORM FOR EACH ENTRY. REGISTER EARLY. ENTRIES ACCEPTED ON A FIRST COME FIRST SERVED BASIS.
Confirmations will be sent to all emails on this form 4 weeks prior to event date. Please add us to your safe list & accept Excel & PDFs.

STUDIO INFO: please print clearly

STUDIO NAME Lindberg Academy of Performing Arts STUDIO EMAIL admin_lindbjerg@shaw.ca
MAILING ADDRESS #7 - 75 Blue Mountain Street STUDIO PHONE 604.777.2211
CITY Coquitlam POSTAL CODE V3K 0A7 ALTERNATE PHONE 778.888.8444 / 604.202.6936
STUDIO CONTACT PERSON/POSITION/EMAIL Chad Matchete, Artistic Director or Tricia Kobayashi, Administrator

STUDIO DIRECTOR/OWNER INFO:

NAME Chad Matchette HOME PHONE 604.574.0700
EMAIL cgmatch@gmail.com CELL PHONE 778.888.8444

DANCER INFO:
NAME OF SOLOIST OR DANCE: I Got the Feelin
CHOREOGRAPHER: Nikki Prime LENGTH OF DANCE: 3:20

CATEGORY: We reserve the right to split or combine categories. ABILITY LEVEL: Include all dance training in all disciplines
TAP BALLET - CLASSICAL LEVEL 1 : BEGAN TRAINING SEPT '09 OR '10 AND
JAZZ BALLET - DEMI CHARACTER GROUP AVG IS LESS THAN 1.5 DANCE HRS/WEEK
LYRICAL Theme:
MODERN NATIONAL:
LEVEL 2 : BEGAN TRAINING SEPT '07 OR '08
LEVEL 3 : BEGAN TRAINING SEPT '05 OR '06
CONTEMPORARY ACROBATICS (include gym training) LEVEL 4 : BEGAN TRAINING SEPT '04 OR BEFORE
VARIETY - STAGE PRODUCTION (min. 20 dancers) ADULT : 19-29 YRS 30+ YRS
VARIETY - SONG & DANCE STREET/HIP HOP

AGE CATEGORY: AGE AS OF DECEMBER 31, 2010

Fill out names and ages on back of entry form. Round to the nearest whole number (see example on back).

TYPE OF ENTRY: ALL SOLO, DUO AND/OR TRIO DANCERS MUST BE ENTERED INTO AT LEAST ONE GROUP TO PARTICIPATE.
SOLO $45
DUO/TRIO $28
GROUP $25

# OF COMPETITORS
5 x $25 = $125.00 TOTAL FEE
= $ 15.00 + HST 12%
= $ 140.00 = GRAND TOTAL
LIABILITY RELEASE Peak Invitational and its directors, employees, officers,
administrators, successors and/or volunteers will be indemnified and held harmless be the legal representative of the performers from and against all actions, claims, demands, costs and
expenses by reason of or relating in any way to participation in
PUBLICITY RELEASE Upon returning completed entry forms, choreographers,
teachers, parents and performers automatically grant permission to Peak Invitational use of any photographs and/or videos as well as printing of names for advertising, promotional and
publicity purposes

SIGNATURE OF AUTHORIZE D LEGAL REPRESENTATIVE

Parent or Studio Director

DATE
MAIL TO: 944 SPENCE AVENUE, COQUITLAM BC V3J 4V5 www.peakinvitational.ca

LIST OF COMPETITORS
NAME AGE
1 Jianna Ballard 17
2 Josh Ballard 12
3 Kiara Gibbons 15
4 Alexa Graf 15
5 Kristi Moffatt 15
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

IF NECESSARY, PLEASE ATTACH AN ADDITIONAL SHEET.

CALCULATING AGE CATEGORY

TOTAL AGE 74 / NUMBER OF COMPETITORS 5 = 15 AVERAGE AGE

PLEASE ENTER THE AVERAGE AGE IN THE AGE CATEGORY BOX ON THE ENTRY FORM.
CALCULATE THE AVERAGE AGE TO ONE (1) DECIMAL PLACE AND ROUND TO THE NEAREST WHOLE NUMBER.
EXAMPLE: 14.0 - 14.4 = AVERAGE AGE OF 14.
14.5 - 14.9 = AVERAGE AGE OF 15.