Url REGISTRATION FORM PEPITE PRICE C2LADANSE (8-12 YEARS) CLASSICAL AND MODERN-JAZZ * Required information Identity of the candidate : Name : * First Name : * Sex (F/M) : * F M Birth date : * Nationality : * Coordinates of the candidate : Street : * Postal Code * City : * Country : * E mail : * Mobile phone : * Required documents : Parents (or legal responsible or guardian) : Name of parents / guardian : * First Name of parents / guardian : * E-mail of parents / guardian : * Mobile phone of parents / guardian : * Postal Address of parents (or guardian) - if different from candidate : Street : Postal Code : City : Country : Chosen Dances : Classical and Modern-Jazz Classical and Modern-Jazz Category : Category : Preparatory (8-9 year) Elementary (10-11 years) Intermediary (12 years) School and classical dance teacher : (If your school / dance teacher is different in modern-jazz, fill in their contact information in the following section)) Name of your dance school : * Name of your dance teacher : * E mail of your dance teacher : * Mobile phone of your dance teacher : Adresse postale de l'école de danse : Street : Postal Code : City : Country : School and teacher of Modern-Jazz dance (if different) : Name of your dance school : First Name of your dance teacher : E mail of your dance teacher : Mobile phone of your dance teacher : Postal Address of your modern-jazz school (if different) : Street : Postal Code : City : Country : To know you better ... How did you hear about our contest ? mieuxvousconnaitre Dance school Facebook, Instragram, Social networks ... Word of mouth Internet Print Specialized press, dance magazines Consent Regulation By checking this box, I acknowledge having read and accepted the C2ladanse Contest Rules and in particular Article XII concerning the right to the image. By checking this box, I acknowledge having accepted to respect the eventuel health protocol. See the Regulations *