ADJUDICATION - 2019 Regional HS Dance Festival
This form must be filled out for every dance performance for adjudication at the Regional High School Dance Festival at the University of Wisconsin-Madison, March 15-19, 2019. The fee for each performance is $25. This form and the fee must be received NO LATER THAN Jan 13, 2019.
Dance High School *
Your answer
Contact Person Name *
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email address *
Your answer
Cell Phone *
Your answer
Title of Dance *
Your answer
Choreography by: *
Your answer
The choreographer is: *
Music credits *
Your answer
Other credits (costumes, lighting, etc.) *
Your answer
Exact run time of dance (in minutes and seconds) *
Your answer
List of dancers names in alphabetical order *
Your answer
Online link to dance video *
Your answer
I understand that each dance submitted for adjudication requires a fee of $25 and that this form and fee are due no later than Jan 13, 2019. *
Required
PAYMENT INFORMATION
Payment must be made by check or money order. Checks/money orders must be payable to UW-Madison Dance Department. Please also fill out a PAYMENT FORM and send with your payment: https://go.wisc.edu/3p33n4.

Send check/money orders to University of Wisconsin-Madison Dance Department, ATTENTION: RHSDF, 1050 University Avenue, 125 Lathrop Hall, Madison, WI 53706.

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