Highland Dance Entry Form September 30, 2023 Davis & Elkins College Outdoor Amphitheatre, Elkins, WV Judge – Wendy Lint Piper – Sean Regan EVENTS PRIMARY 16 Pas de Basques Pas de Basques and High Cuts Fling (4) Sword (2&1) BEGINNER Lilt (4) Fling (4) Sword (2&1) Half Tulloch NOVICE Fling (4) Sword (2&1) Sean Triubhas (3&1) Half Tulloch INTERMEDIATE Hornpipe (4) Fling (4) Sword (2&1) Highland Laddie (4) Strathspey & 1/2Tulloch PREMIER Hornpipe (4) Fling (4) Highland Laddie (4) Barracks Johnny (4) Strathspey & 1/2Tulloch ENTRY FEES Primary & Pre-Premier: $25 (ages 4 to 6) Premier: $30 Choreography (per duet or solo) - $20 SPONSORSHIPS - all sponsors will be recognized on the event program & Facebook page Medal sponsor: $25 Trophy Sponsor: $50 SPECTATOR TICKETS Tickets are $5 and can be purchased online or at the door EVENT INFORMATION 1. Dancing will conform to RSOBHD rules. Judge’s decision is final. 2. Dancers must show 2023 ScotDance USA registration card on day of event in order to compete. 3. $1 from each entry will be donated to SE ScotDance USA. 4. Trophy will be awarded to the dancer with the highest points in each class. Cash awards for oldest Premier class. Primary will receive medals only. 5. Registration is 8:30 am for morning events and 12:30 pm for afternoon events. 6. Events begin at 9:00 am for Primary, Beginner, and Novice and no earlier than 1:00 pm for Intermediate and Premier. Choreography will begin at the conclusion Primary, Beg., & Novice competitions. 7. Pre-Premier and Premier events will be divided into age groups according to entries received. 8. Age is determined the day of competition. 9. Choreography follows RSOBHD rules. Time limit is two minutes for solos and duets. 10. A special award will be presented to the “Most Promising Beginner” – judge’s choice. 11. Three $50 scholarships will be awarded in the pre-premier categories – judge’s choice. 12. One $100 “Heart of the Highland Hills” award will be presented to a premier dancer – judge’s choice.’ 13. We reserve the right to combine or cancel any event due to lack of participation. If event is cancelled, competitors will be notified prior to the day before the competition. 14. Entries must be received by September 15. For further information, please contact the organizer: Katy Dillon 304-642-0206 [email protected] Follow www.facebook.com/msffhighlanddance for continuous updates! Dancers Name:* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* * If dancer is under 18, please list parent phone, cell and emailSCOTDANCE number Date of Birth* MM slash DD slash YYYY Age (as of September 30, 2023)* Competition Level (choose one):* Primary (ages 4 to 6) Beginner Novice Intermediate Premier Teacher's Name Teacher's Email Entry Fee*Primary & Pre-Premier: $25.00Premier: $30.00NoneChoreography (per duet or solo)*Duet: $20.00Solo: $20.00Noneplease email music to [email protected]Name of Duet Dancer 1* Only one registration fee required per duetName of Duet Dancer 2* Tickets Quantity Price: $5.00 Quantity Interested in sponsoring? N/A Medal Sponsor - $25 Trophy Sponsor - $50 Other Sponsor Amount *3% processing fee will be added:* Price: $0.00 Total $0.00 I, the undersigned (for myself, heirs, personal representatives and assigns) intending to be legally bound, do hereby waive and release all rights, claims, demands and/or causes of action against the Mountain State Forest Festival, city of Elkins, WV and Davis & Elkins College and all competition sponsors and volunteers for any personal injury which I might sustain during the contests, immediately known to me or hereafter discovered, and for any and all other damages or losses which I might incur, now or in the future, arising from or out of my participation in this contest. Permission is granted to use photographs and names for any and all purposes.Signature (Signature of Parent or Guardian if participant is under age 18)* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Billing Name* First Last Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Δ