SCHOOL NAME:
TEAM NAME:
2008-2009 SCHOOL INSURANCE CERTIFICATE MUST BE ON FILE
WITH LIKA BY NOVEMBER 17, 2008 PLEASE FILL THIS OUT COMPLETELY.
ADVISOR’S NAME: HOME PHONE:
ADVISOR’S ADDRESS: CELL PHONE:
TOWN__________________________________________ ZIP:
E-MAIL ADDRESS
CAPTAINS NAMES:
LIKA DIVISIONS YOU WILL BE ENTERING/NUMBER OF GIRLS ON
THE SQUAD:
(If you fall 4 or more girls below the number you declared, a penalty
of .1 girl will be applied. Don’t include any alternates. Classes are deterred after sheets are
received. Going over
the size per class results in disqualification.)
CHECK ONE OR MORE # OF MEMBERS
o High Kick ______
o Dance ______
o Pom ______
o Step ______
o Hip Hop ______
Classes: Middle and High School classes as are justified.
L.I.K.A. Contests for 2007-2008. Check all those you are planning to enter.
( ) Contest #1 12/14/08 11/14/08 ( ) Kick ( ) Dance ( ) Pom ( ) Step ( ) Hip Hop
@
( ) Contest #2 1/11/09 11/14/08 ( ) Kick ( ) Dance ( ) Pom ( ) Step ( ) Hip Hop
@ Walt Whitman HS
( ) Contest #3 1/25/09 11/14/08 ( ) Kick ( ) Dance ( ) Pom ( ) Step ( ) Hip Hop
@ Walt Whitman HS
· Entrance fee for each division entered, in each contest is $150.00, except the Championship, which is $165.00. Spectator’s Fee is $7.00 collected at the door.
· Please remember that your check or P.O. (made out to L.I.K.A.) must be received by deadline dates. One Week from that date is also the last date for refunds.
· For Information Call: (evenings after 8pm are best) William Gulick @ 631-462-1525. Mailing Address: 29 Havemeyer Lane, Commack, NY 11725