Email REGISTRATION FORM GRAND PRIX C2LADANSE (13-22 YEARS) CLASSICAL AND CONTEMPORARY / 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 the parents / guardian : * First Name of the parents / guardian : * E mail of the parents / guardian : * Phone mobile of the parents / guardian : * Postal Address of the parents (or legal responsible or guardian) - if different from the candidate : Street : Postal Code : City : Country : Chosen dances : Classical and Contemporary / Modern-Jazz Classical and Contemporary / Modern-Jazz Category : Category : Average (13-14 years) Advanced (15-16 years) Expert (17-22 ans) School and Classical Dance teacher : (If your school / dance teacher is different in contemporary / modern-jazz, fill in their contact information in the following section) Name of your dance school : * Name of your dance teacher : * Email of your dance teacher : * Mobile phone of your dance teacher : Postal Address of your dance school : Street : Postal Code : CIty : Coutry : School and dance Contemporary / Modern-Jazz teacher (if different) : Name of your dance school : Name of your dance teacher : E mail of your dance teacher : Mobile phone of your dance teacher : Postal Address of your contemporary / modern-jazz dance school (if different) : Street : Postal Code : City : Country : To know you better ... How did you hear about our contest ? mieuxvousconnaitre Your dance school Facebook, Instragram, Social network ... Word of mouth Internet Print Specialised 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 *
