CHAMPIONSHIPS 2017
IN
FITNESS THROUGH MOVEMENT and
DANCE
Name: _____________________________________
Are you a registered KFA Teacher
KFA Member
I have read, understood and agree the conditions regarding insurance
cover in respect of producers and performers as stated in the Entry
Rules.
Signature: _________________________________________
Producer
Competitor
KFA Membership no. _________
Address: ___________________________________________
___________________________________________________
Post Code: _____________ Tel. no.: _____________________
Region: ________________ Area: _______________________
Email: _____________________________________________
I would like to enter the following section/s
Please tick appropriate box/es.
MOVEMENT AND DANCE
YOUNG DANCER OF THE YEAR (age 16-26)
SOLO (age 27+)
TRIO
DUO
NUMBER IN TEAM _____________
TEAM
EXERCISE
NUMBER IN TEAM _____________
FITNESS FREESTYLE
TEAM
NUMBER IN TEAM _____________
 SOLO
£15 for each SOLO entry
 DUO
£29 for each DUO entry
 TRIO
£42 for each TRIO entry
 TEAM
£65 for each TEAM entry
 NEW PRODUCERS £45 for each TEAM entry
All entrants, PRODUCERS and COMPETITORS must
be current ADULT members of KFA
Each section must have a minimum of 3 entries
received for that section to run
PAYMENT DETAILS
Cheque number ______________ payable to KFA
for the sum of £______________ in full payment
OR
By Direct Credit to:
The Keep Fit Association
HSBC Sort Code: 40-30-20
Bank Account Number: 21476157
Date sent in: ________________
Gilda Chambers
9 Anthony Road
Welling
Please indicate type of APPARATUS.
HOOPS
BALLS
MATERIALS
CLUBS
NUMBER IN TEAM ________
ROPE MOVEMENT AND SKIPPING
TEAM
NUMBER IN TEAM _______
MOVEMENT AND DANCE NEW PRODUCERS
TEAM
ENTRY FEES
Please return your application form as soon as possible to
APPARATUS
SOLO
CHAMPIONSHIPS 17TH /18TH JUNE 2017
Albert Hall, Nottingham
Please quote reference CHAMPS17
TEAM
RIBBONS
COMPETITORS APPLICATION FORM
NUMBER IN TEAM _____________
To enter the NEW PRODUCERS section, you must not have been a
championship producer from and including 2011
For full conditions of entry you MUST refer
to the Entry Rules
Kent
DA16 3EH
Tel: 020 8855 2034 Email:[email protected]
Closing date Friday, 30th November 2016
Individual Section Criteria and the Guidelines for
Producers and Judges, will be emailed to you on receipt
of your Application Form
Date application received: ________________