Registration & Contact Form

   BIG NEWS!  DCYC is going National in 2019! We are postponing the 2018 dates to prepare for DCYC 2019. Stay tuned for the exciting changes to our regional competitions. For more info call 513-871-0914

Dance Cincinnati Youth Competition -5141 Kennedy Avenue Cincinnati, Ohio 45213

Phone: 513-871-0914

Contact Form:











Registration Form:

Mail your Preliminary Round registration form to: DCYC 5141 Kennedy Ave, Cincinnati Ohio 45213 

In order to compete, dancers must be registered for the workshop. Complete a separate registration form for each entry. Duplicate this entry form as needed. Competition entries will be accepted on a first come, first served basis. Please do not finalize your travel arrangements before you receive an email confirmation from DCYC.


Date___________________

PARTICIPANT CONTACT INFORMATION

Paticipant’s Name _______________________________________ Participant’s Address _______________________________

City____________________________ State __________ Zip _________________ 

Phone/Cell______________________________________ E-mail ____________________________________________


Dance School’s Address_________________________________________________________

City__________________________________________ State ________ Postal Code______________ Country ______________

Phone _______________________________________  


Parent Name____________________________________________ 

Parent E-mail ______________________________________________

PLEASE INCLUDE (ALL) FEES PER PARTICIPANT FOR ALL ENTRIES

Registration/workshop Fee (mandatory all dancers) **Registration rate is determined by postmarked date. Please select one from the rate list from below.

Early registration discount rate due by October 4th, 2017…….    $100  

Registration fee due by November 4th, 2017………………….    $120   

 Late registration rate after November 4th, 2017………………    $150   

                                                                  Applicable Rate=_________

Classical Ballet Division

Solo…………………………...$90 (each) x ______ = ______ 

Pas de Deux ……………$90 (per dancer) x ______ = ______

Duet/trio………………..$90 (per dancer) x ______ = ______

Large Ensemble 4 + ……$50 (per dancer) x ______ = ______

                                                                      TOTAL = ______

Name Classical Ensemble pieces here:__________________________________________________________________________

_________________________________________________________________________________________________________


Open Dance Division:

Solo………………………….$90 (each) x ______ = ______ 

Duet/Trio ……………...$90 (per dancer) x ______ = ______

Large Ensembles 4+ …$50 (per dancer)  x ______ = ______ 

                                                                     TOTAL = ______

Name Open Dance Ensemble pieces here: _____________________________________________________________________

_________________________________________________________________________________________________________

***DCYC offers any registered YAGP competitior a 20% discount on all registration and competitior fees for all rounds of competition. In order to apply this discount to your total your YAGP registration confirmation must sent over email.

The student(s) and I have read all rules and regulations, and we understand that Dance Cincinnati Youth Competition is not responsible for any damage, injury or loss during the competition and workshop. I hereby authorize DCYC to publish photographs taken of participant and name and likeness, for use in DCYC pricing, online, and video-based marketing materials as well as other company publications. I hereby release and hold harmless DCYC from any reasonable expectation of privacy or confidentiality associated with the images specified above. Further, DCYC strictly prohibits the use of all Videographic and Photographic equipment during Competitions. 

Studio Director or Parent/Guardian's Signature _____________________________________________ Date________________ 


Classical Division Total+Open Dance Division Total +Mandatory Registration SUB TOTAL:_____________

                                                                                       YAGP discount of 20% (if applicable): _____________

                                                                                         GRAND TOTAL (subtotal-discount): ______________


For Office Use Only: Date Received _______________________ Check#____________________________________________


PARTICIPANT INFORMATION

Participant Name______________________________________________

Birth Date___________________ Age (age by 1/1/2018) _______ 

Dance School Name____________________________________________

Director of School______________________________________________


AGE CATEGORIES

Pre-Teen: 9-11yrs ____ 

Junior: 12-14 yrs ____

Senior: 15-18 yrs ____

Apprentice: 19-23 yrs ____ 

Non-competitive: 9-23 yrs ____


GENDER & HEIGHT

M___    F___     HEIGHT _________


RACE (OPTIONAL)

Caucasian ____ African American_____ Hispanic____ Asian____ Other____


#1 ENTRY DIVISION

Classical _____ Open Dance _____

Entry Title________________________________________________________

Entry Running Time __________(minutes) 

Choreographer/Teacher________________________________________

Names of Accompanying Teachers/Coaches__________________________________________________________________________________________

_________________________________________________________________________________________________________


#2 ENTRY DIVISION

Classical _____ Open Dance _____

Entry Title________________________________________________________

Entry Running Time __________(minutes) 

Choreographer/Teacher________________________________________

Names of Accompanying Teachers/Coaches__________________________________________________________________________________________

_________________________________________________________________________________________________________


#3 ENTRY DIVISION

Classical _____ Open Dance _____

Entry Title________________________________________________________

Entry Running Time __________(minutes) 

Choreographer/Teacher________________________________________

Names of Accompanying Teachers/Coaches__________________________________________________________________________________________

_________________________________________________________________________________________________________


#4 ENTRY DIVISION

Master Classes ONLY - NON Competing ________ 

Names of Accompanying Teachers/Coaches__________________________________________________________________________________________

_________________________________________________________________________________________________________