National Entry Form without Tees – JUMP JAM

2024 National Entry Form - Without Tees

"*" indicates required fields

National Competition Entering*

2th Nov, Christchurch (Cashmere High School)

9th November, Tauranga (Bethlehem College)

Name of School :*

Category Qualified For:*

Yr 5-8 Strictly Nationals, Original Choreography

TEAM DETAILS

Team Name:*

This will be the name used to introduce the team on stage and will be listed on the schedule.

South Island Only: Team Members Names

Max. file size: 2 MB.

Please attached an Excel doc or email me a list of your students names in the team. Just their First and Last Name.

Name of Two Students for Interviewing*

Please advise two students names for the MC to call forward and be interviewed after the team has performed?

Name of routine performing:*

Please ensure the song name is correct.

Resource Kit this routine is from:*

This is to ensure we play the right song for your team.

Number of Students in this team*

Maximum number on stage is 25 team members, minimum is 10.

Name of Coach

First Last

Coach Email Address:*

Coach Mobile Phone Number:*

1x Additional Support Persons Name:

Access to Green Room and Coach seats. 2 coaches only per team. Should you have 3 coaches. 1 will need to purchase a ticket. Let me know if your team is in this position and I will reserve a VIP seat for this 3rd coach.

PAYMENT DETAILS

Accounts Email Address (for Invoice)

Price x Number of Students In this Team *

Price: $ 29.00

$29 per student, including medals for 1st - 3rd placing, and entry to watch their category. Maximum number on stage is 25 team members, minimum is 10.

TOTAL AMOUNT PAYING

One entry form per team
One payment per school to be deposited by close off date to 03 0181 0191378 00.
Please use your "School Name & Regional" as reference.
Payment is due by the 9th September 2022.

CONSENT & CONFIRMATIONS

Refund Policy:*

Understood

Once Registrations close for your area competition, there will be no refunds, if a student is unable to compete, they will still receive any medals the other team members receive.

Consent to use images:*

Consent given

Kidz Aerobix Ltd may wish to publish images from JUMP JAM. By entering this competition, consent is given for possible images of your students being used for future publicity.

Notes:

Registration: The cost is $29 per team member. One entry form is required per team and one payment per school before close off date. An invoice will be automatically generated and sent when the entry form is submitted.

Refund Policy: Once Registrations close for your area competition, there will be no refunds, if a student is unable to compete. They will still receive any medals the other team members receive.

If you have any competition related questions please email Brett Fairweather at competitions@jumpjam.co.nz