World Eskimo-Indian Olympics

2012 Dance Team Competition Application

All dance teams will participate in Wednesday & Saturday grand entry with arrival at Carlson Center by 5:30 p.m.
Winning dance teams will participate in final night Command Performance.

Dance Team Name:
 
Dance Team Leader:
 
Address:
 
(Street)

(City)
  
(State)
(& Country if not U.S.)
  
(ZIP/Postal Code)
 
Email Address:
 
Phone #1:     Phone #2:     Fax #:

Each dance team will provide one member of their team to participate in judging duties.

Judge's Name:     Judge's Phone #:

Judge's Email Address:
 
Total Number of Members in Your Dance Team:
(IMPORTANT: You must select the total number of dance team members as this will determine the registration fee.)
 

Please enter the name of each dance team member:

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)

Waiver of Responsibility

By providing my confirmation below, I agree to the following: acting as a representative of the dance team, I hereby take full responsibility of all dance members’ actions while in Fairbanks including, but not limited to the following: that each member will abide by all rules and regulations set forth by the community of Fairbanks and WEIO; that I will agree to reimburse any damages and theft done; that I/we will not hold WEIO liable for our participation in the WEIO; and, agree to observe the non-usage of alcohol or other mood-altering drugs. I here by grant permission, without compensation to and from WEIO or its appointees to use my name and image taken during the WEIO in any promotional material or advertising.
I, the registrant, have read and understand the above.

Registration Fees

The registration fee is $35.00 per dance group member, groups with more than 10 members pay a maximum of $350.00

Upon submititng this form you will be redirected to fee processing.