SWRDA 2007 Mail-In Contest Registration Form
Entry Deadline: April 25, 2007. Weekend Pass Purchase ($65 ) MUST accompany this form.
AFTER COMPLETING THIS FORM, HIT "PRINT" ON YOUR BROWSER BAR.

CONTEST:
   (Jack & Jill registration is open to all dancers at the door)
LEADER INFORMATION...
  Name:  Club:  
  Competition Level: (Competitors must dance the same level all weekend, including Jack & Jills)
  Street Address: City:
  State: Zip: Phone:
  Email:
FOLLOWER INFORMATION...
  Name:  Club:
  Competition Level: (Competitors must dance the same level all weekend, including Jack & Jills)
  Street Address:  City: 
  State: Zip: Phone:
  Email:

To qualify, this entry has been approved by the following Club Representative(s):

2007 SWRSDC Competition Waiver

     I understand that it is the intention of the 2007 Southwest Regionals Swing Dance Championships (SWRSDC) to have my participation in the SWRSDC recorded on video tape, film, and/or photographs, and I expressly agree to and grant the unlimited right and authority to use any recording of my participation in the aforementioned contest in any media, in perpetuity, in whatever manner and by whatever means, without obligation to me.  Such recordings become the sole property of the persons or organizations making them.      
    I understand the physical risks of entering dance competitions and social dancing, and assume full responsibility for any injury or personal damages, resulting from such activities at SWRSDC.  I hereby, for myself and my heirs, executors and administrators, waive and release any and all rights for damage I might have against the SWRSDC and its agents for any and all injuries which may be suffered by me in participation in dance competitions, social dancing and any traveling to and from the dance convention locations.
     As a contestant, I understand that unsportsmanlike conduct or harassment of officials or other contestants will be cause for disqualification or suspension from current and future SWRSDC dance events and that refusal to accept an award is considered  unsportsmanlike conduct.  I certify that I am 18 years of age, or am represented by my Guardian below, if I am under 18 years of age.
    
ENTRY FORMS MUST BE SUBMITTED TO STS THROUGH YOUR CLUB REPRESENTATIVE by April 25, 2007. This contest registration and competition waiver form MUST be accompanied the $65 weekend ticket fee or proof of purchase.

As evidenced by my signature below, I have read the Contest Rules and the Competition Waiver, 
and agree to comply with them.

Contestant Signature & Date:

______________________________
  Contestant Signature & Date:

 
______________________________

AFTER COMPLETING THIS FORM, HIT "PRINT" ON YOUR BROWSER BAR.

Sign & Mail Registration, with Weekend Ticket cost of $65 (payable to “STS-SWRDA”) to
4012 South Marion, Tulsa, OK 74135

If you wish to verify receipt of your entry, please contact Enola at enolaanne@yahoo.com or 918.638.7431