ATHENA ART AWARDSCATEGORY 2: DANCEENTRY FORM Please enable JavaScript in your browser to complete this form.Name *FirstLastPerformance/Dance Name *How many performers? *All Performers' Full Name *Date of Birth *Your Performance/Dance is *Original Choreography Adapted DanceOthersEmail *Phone Number *WebsiteCountry *AddressNominating Organization AGE DIVISIONS *Age 8-11 yrsAge 12-16 yrsAge 17+ yrsOthersCategories *BalletContemporaryJazzHip HopFolkloricBallroom DanceTap Musical TheaterPointeLyricalOthersGeneral Divisions *Solo-1PerformerDuet/Trio-2-3 PerformersSmall Group-4-9 PerformersLarge Group-10-19 PerformersLine-20 or more PerformersOthersTime Limits *under 3mins3 - 5 mins5 mins or moreDo you want to apply "Best dance choreography“?- Additional $25/person Entry Fee *YesNoChoreographer Name *Choreographer - Email *Dance Studio *Dance studio - Email *Profile PicturePlease upload your profile picture for the nominations announcement; or please send us your picture before the 25th of the current month to our email: entry@athenaawards.org Please mark your name Please submit your dance video here or please send us your video before the 25th of the current month to our email: entry@athenaawards.org Please mark your name Entry Fee ($25 per person) *$25 - 1 Performer$50 - 2 Performers$75 - 3 Performers$100 - 4 Performers$125 - 5 Performers$150 - 6 Performers6+ PerformersPlease contact us to submit your additional entry fee if there are more than 6 performers: entry@athenaawards.org Additional [Best Dance Choreography] Entry Fee ($25 per person) *$25 - 1 Choreographer$50 - 2 Choreographers$75 - 3 ChoreographersDo you want to support our Youth Scholarship Program?$0$10$25$50$100Total$ 0.00Credit Card *CardName on CardAgreement *I, the undersigned, acknowledge and agree to the following: I have read, understood, and agree with the rules and regulations. To the best of my knowledge, all statements on this form are true. This dance video is not subject to any litigation nor is any litigation threatened. I am duly authorized to submit this dance video to the Athena Art Awards and Athena Culture Education Foundation.1. Any dance category ( such as ballet, contemporary, jazz, Hip Hop, Musical Theater, etc.) can apply, no time limits; 2. Solo, Duet/Trio, Small Group, Large Group, or any division can apply; 3. All music & videos must be cut, edited and of the correct pitch, also please prepare a costume; 4. Please mark the choreographer and your dance studio information; 5. All entries must be paid in full ($25/performer entry fee)and submit your dance video before they will be processed.; 6.No refunds will be issued for any reason; 7.By signing this entry form, all registered contestants do hereby grant permission to Athena Art Awards and Athena Culture Education Foundation to publish their photographs on local television, national television, promotional videos, the web, or in any other publication, to promote its competitions and awards. Furthermore, we hereby release all directors, officers, or representatives of this competition awards from any and all claims for damages or injuries sustained while participating in any activity related to this competition awards.SignatureClear SignatureComments or Questions? (Reminder: If you submit your dance video through this online form, please wait a few minutes after you click "Submit", because the system will upload your video first. Thank you for your support!)Please email us if you have any question: info@athenaawards.orgWebsiteSubmit