STUDENT  INFORMATION FORM
   for Cafe Lebanon "Student Night"
Students:  Please print out this sheet and fill in all questions.  Please check in with, and present this sheet and your performance CD music, upon arrival,  to the designated person/s "hosting" the show.
DATE OF SHOW YOU'RE PARTICIPATING IN: _________________________________

BRIEF DESCRIPTION OF THE DANCE (
cane, veil, solo, duo, troupe):  ______________________
_____________________________________________________________________________________

IMPROV _____     CHOREO'D _____   IF CHOREO'D.....BY WHOM: _______________________

TEACHER/(S):   ______________________________________________________________________

CD MUSIC NAME  AND  "CUT" NUMBER: ________________________________________________
(Please make sure that your CD is labelled with your name, the CD name (if appl) and the number cut on the CD.  It's best for us and the DJ to have a burned CD with only that music on it.  A backup CD of the same is recommended)

SHOW  SLOT  PREF. REQUEST (optional):  ___ SHOW  1       ___ SHOW 2      ___ SHOW 3
(Please note:  We try to fill the shows using a mix of types of dance.  We understand that some dancers have time or distance constraints.  If there are not enough dancers to fill three shows, we'll fill only the first 2.  The first show usually starts at 5:45, second at 6:45 and third at 7:30pm)

PERFORMANCE "ENTRANCE" STATUS:  (
Please check one....this indicates whether you need to have your music started while you are ON or OFF stage):  ON-STAGE:_________    OFF -STAGE: _________

NUMBER OF DANCERS PERFORMING THIS DANCE: ___________________
(Please list all persons who are performing this particular number with you BELOW):

TROUPE NAME and PRONOUNCIATION (
if applicable): _______________________________________
_________________________________________________________________________________________

1.  NAME: __________________________________________ 
     STAGE NAME:___________________________________
    
Phonic Pronounciation of Stage Name: ______________________________________

2.  NAME:  __________________________________________  
     STAGE NAME: ___________________________________
    
Phonic Pronounciation of Stage Name: ______________________________________                       

3.  NAME:  __________________________________________ 
     STAGE NAME:  ___________________________________
    
Phonic Pronounciation of Stage Name:: ______________________________________

4.  NAME:  __________________________________________  
     STAGE NAME:  ___________________________________
    
Phonic Pronounciation of Stage Name:: ______________________________________

5.  NAME:  __________________________________________  
     STAGE NAME:  ___________________________________
    
Phonic Pronounciation of Stage Name:  ______________________________________

____________________________________________________________________
STUDENT  DANCER(S)  INFORMATION
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Student Information Page
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