Please tear out along the perforations. You may make copies of this form.
17
SCHOOL TEAM ROSTER
**Only complete this form if your team is participating in the school divisions.
**This form can be duplicated.
Team Name____________________________________________________________________________
City _______________________________________________________ State __________ Zip ______________________________________
How did your team qualify?
______________________________________________________________________________________
Please list the names of all participants that are performing on the floor at NDTC. Identify each participant that is performing with the team
and mark “Crossover” if a member is cross competing on an all star team. Please list the category/division that each dancer is performing.
Complete a separate roster for each team.
* Any dancer competing on an All Star team and a School team will have a $100 crossover fee. Total number of Crossovers with All Star team_______.
Participant’s Name
1. ____________________________________________
m m
________________________________________
m
______________________
2. ____________________________________________
m m
________________________________________
m
______________________
3. ____________________________________________
m m
________________________________________
m
______________________
4. ____________________________________________
m m
________________________________________
m
______________________
5. ____________________________________________
m m
________________________________________
m
______________________
6. ____________________________________________
m m
________________________________________
m
______________________
7. ____________________________________________
m m
________________________________________
m
______________________
8. ____________________________________________
m m
________________________________________
m
______________________
9. ____________________________________________
m m
________________________________________
m
______________________
10.____________________________________________
m m
________________________________________
m
______________________
11.____________________________________________
m m
________________________________________
m
______________________
12.____________________________________________
m m
________________________________________
m
______________________
13.____________________________________________
m m
________________________________________
m
______________________
14.____________________________________________
m m
________________________________________
m
______________________
15.____________________________________________
m m
________________________________________
m
______________________
16.____________________________________________
m m
________________________________________
m
______________________
17.____________________________________________
m m
________________________________________
m
______________________
18.____________________________________________
m m
________________________________________
m
______________________
19.____________________________________________
m m
________________________________________
m
______________________
20.____________________________________________
m m
________________________________________
m
______________________
21.____________________________________________
m m
________________________________________
m
______________________
22.____________________________________________
m m
________________________________________
m
______________________
23.____________________________________________
m m
________________________________________
m
______________________
24.____________________________________________
m m
________________________________________
m
______________________
25.____________________________________________
m m
________________________________________
m
______________________
ALTERNATES
26.____________________________________________
m m
________________________________________
m
______________________
27.____________________________________________
m m
________________________________________
m
______________________
28.____________________________________________
m m
________________________________________
m
______________________
All Star Team
Crossover
Please list All Star Category & Division Performing in:
n
SMALL VARSITY JAZZ
n
SMALL VARSITY HIP HOP
n
SMALL VARSITY POM
n
LARGE VARSITY JAZZ
n
LARGE VARSITY HIP HOP
n
LARGE VARSITY POM
n
VARSITY HIGH KICK
n
JUNIOR VARSITY JAZZ
n
JUNIOR VARSITY HIP HOP
n
JUNIOR VARSITY POM
n
JUNIOR VARSITY HIGH KICK
n
JUNIOR HIGH JAZZ
n
JUNIOR HIGH HIP HOP
n
JUNIOR HIGH POM
n
JUNIOR HIGH HIGH KICK
SCHOOL TEAM ROSTER
DUE DECEMBER 3, 2014
Male
Female
School name you would like listed on the video screen at the event (
PLEASE PRINT CLEARLY
):
School Name___________________________________ Team Name___________________________________
Official City, State___________________________________ Team Mascot___________________________________
Please list up to three coaches names that you would like listed on the video screen at the event:
________________________________ ________________________________ ________________________________
