REGISTRATION FORM
PEPITE PRICE C2LADANSE (8-12 YEARS) CLASSICAL AND MODERN-JAZZ

* Required information

Identity of the candidate :

Coordinates of the candidate :

Required documents :

Parents (or legal responsible or guardian) :

Postal Address of parents (or guardian) - if different from candidate :

Chosen Dances :

Category :

School and classical dance teacher :

(If your school / dance teacher is different in modern-jazz, fill in their contact
information in the following section))

Adresse postale de l'école de danse :

School and teacher of Modern-Jazz dance (if different) :

Postal Address of your modern-jazz school (if different) :

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