GMHG Highland Dancing Entry Form - USSE-0405

Print and Mail entry with SASE and fee to: Patricia Johnston (919-614-3303)
                                                    215 SE Maynard Road
                                         Cary, NC 27511
                                         
                                              by June 25, 2008

Name (please print) ________________________________       Age _____
DOB ________________   Phone _________________        
Address _______________________________________________
City _____________________________
State/Prov. __________  Zip/Postal ___________________  
e-Mail _____________________________  Dancer Reg# ________________________________
Fri Pre-Championship Y/N    Sat Atlantic Intl. Championship Y/N    Dance School _____________
Sat Pre-Premier Category ________________  Dances  __________________________________
Sun Pre-Premier Category  _____________  Dances  ____________________________________
Sunday Premier  ____  Dances  ______________________________
Special Sword (Premier only)  Y/N  
ALL DANCERS MUST SHOW 2008 REGISTRATION CARD
All must sign and date: I waive any claims I and / or my heirs may have for
damages against GrandfatherMountain Highland Games committee and
Grandfather Mountain, Inc. for any injuries, which may be suffered by the above
contestant in events sponsored by these organizations at Grandfather Mountain,
Linville, NC.
___________________________________________                       ______________
        Signature (Parent or Guardian if under 18 years)                                        Date