jmdtest 2021 Solo Competition Registration Registration Type*Select "Solo" or "Duet"Solo - $25.00Duet - $50.00Performer Name* First Last Email for Upload Link*Please use an email you can readily access that does not have restrictions (school emails may block senders from outside your district- do not use these). Performer Phone*Team Affiliation*Please list the FFCC member team you performed with in 2021. If you did not perform with an FFCC member team in 2021, please write "Non Member"- this includes teams that were inactive in 2021School Name & Grade*Please list your school name and grade. If you and an Independent performer, please write "Independent"Duet Partner Name*If you are participating in the Duet Competition, add your partner's name here. Only one person needs to fill out the registration form. First Last Duet Partner Email* Duet Partner Team Affiliation/School*Division*Choose the division you wish to compete in. You may only choose one per entry. If you would like to compete in an additional division, please submit a second registration. DanceFlagRifleSabreClassification - Solo*Please choose the appropriate classification. IF your team was a member of the FFCC in good standing in 2021, you can compete in these classifications: Cadet- Middle & Elementary School students only Scholastic- High School students only Independent- Independent performers of any age If your team was not a member of the FFCC in 2021, you must select the Open Classification.Solo Cadet (Elementary & Middle School)Solo Scholastic (Current HS Student of Member team)Solo Independent (Current performer from 2021 Member Independent Team)Solo Open (Any age, any affiliation)Classification - Duet*Please choose the appropriate classification. IF your team was a member of the FFCC in good standing in 2021, you can compete in these classifications: Cadet- Middle & Elementary School students only Scholastic- High School students only Independent- Independent performers of any age If your team was not a member of the FFCC in 2021, you must select the Open Classification.Duet Circuit Member Class (Both performers were members of 2021 FFCC teams)Duet Open Class (Any age, any affiliation)Parent/Guardian NameRequired for ALL scholastic performers (including those 18 or older) and any independent performers under age 18. First Last Parent/Guardian EmailRequired for ALL scholastic performers (including those 18 or older) and any independent performers under age 18. Consent*By checking this box, you agree that you have entered in the appropriate classification, and if you are a scholastic performer or under 18 years of age, that a parent or guardian is overseeing your registration in this competition. I do hereby covenant and agree to defend, indemnify and hold harmless the Florida Federation of Colorguards Circuit Inc. (hereinafter “FFCC”) and their representatives and employees from any and all liability, loss, damages, claims or actions (including costs of attorney fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of or in conjunction with the participation in the FFCC solo and duet competition, and/or the activities, functions, events, or proceedings of the FFCC. FFCC events are public events held in public facilities & public online spaces, as such photos and video of the events may be taken of the performances of the teams and individual team members during their performances or in candid situations. The FFCC reserves the right to use these images and videos and assign rights for these images as needed. I understand that I must upload my video via BOX5's link, which will be sent upon receipt of payment, and that this is the only place videos should be posted for the solo competition. BOX5 reserves the right to remove videos posted to YouTube or other services. I agree to the Solo & Duet Competition TermsPaymentRegistration Fee Total $0.00 Credit Card Holder Name*Enter the name of the credit card holder First Last Credit Card Billing Address*Enter the billing address on file with the bank Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit Card Holder Email* Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.