Annex 4 th The 49 Schools Dance Festival Individual Dance Entry Form (For Secondary Schools) For Organise Use Only School Code:__________________ One entry form for each dance 1. Competition Schedule (Secondary School Section) Types of Dance Group Solo/Duet/Trio Chinese Dance 1-3/2/2013 23-24/2/2013 Western Dance 7/2/2013 7/2/2013 Oriental Dance Modern Dance 27/1/2013 28-29/1/2013 27/1/2013 28-29/1/2013 Jazz Dance & Street Dance 26-28/2/2013 22/2/2013 2. Types of dance (Please put a tick in an appropriate box) Types of Dance Group Solo Chinese Dance Western Dance Oriental Dance Modern Dance Jazz Dance & Street Dance Duet Trio 3. Dance information (All section below MUST be filled accordingly and put a tick in an appropriate box, otherwise the enrolment will be rejected) a. Name of Dance1 Chinese : English : b. Duration of Dance : c. No. of Dancer : 2 d. Country/Tribe Chinese : English : 3 e. Stage Effect (e.g sprinkle of paper on stage) f. Choreography : Original choreography without prior stage performance in Hong Kong4 Reproduction Extraction 4. Others a. If schools that enter two or more dances in the same type of dance, please fill it. Please put a tick in an appropriate box. (The organiser reserves the right to make the final decision.) Within the same session b. Date of School Examination Date: 1 Within the same day : (If there are clashes with school examination timetable, please indicate the date and the session for competition.) Signature of School Head: The Chinese and English Name of Western Dance/Modern Dance MUST be filled. For Chinese Dance, Oriental Dance and Western Dance only. 3 Use of fire and water is prohibited. Other stage effect has to be approved by the organiser. 4 Choreography information sheets to be submitted on the competition day upon ticketing this box. 1 2 In separate dates