Annex 6 For Organise Use Only The 49th Schools Dance Festival DanceSport Entry Form School Code:__________________ 1. Please fill in the following information (Please delete whichever is inappropriate) School Name : School Address : Name of School Head : School Tel. No. : School Fax No. : School Email : Type Team Mr/Ms Teacher-in-Charge : Mr/Ms Teacher Mobile No. : : Teacher Email : Name Member 1 Sex Class Name (For dissemination of competition information) Member 2 Sex Class 1 Waltz 2 3 4 1 Cha Cha Cha 2 3 4 1 Jive 2 3 4 *Student can participate in more than one type of dance, the entry fee is based on the number of teams. Total number of team(s) entered: Entry fee: $200 x Team(s)= $ 2. I understand and accept that We shall indemnify the presenter against any loss of or damage to any property of the presenter arising out of my students and staff. Date: Signature of School Head: **Personal data held by EDB may be provided to government departments and other organisations or agencies authorized to process the information for verification, and education-related purpose. 1