REGISTRATION PEPITE PRICE C2LADANSE - Concours international danse c2ladanse

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about
rules
Registration
- 1 dance
- 2 dances
palmares
Gallery
The KIASMA
FAQ
contact

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

* Required information

IDENTITY OF THE CANDIDATE :

Name : *

First Name : *

Birth Date : *

Month *

Day *

Year *

Sex : *FM

Nationality : *

COORDINATES OF THE CANDIDATE :

City : *

Postal code : *

Country : *

E-Mail : *

Mobile phone : *

REQUIRED DOCUMENTS :

Upload your photo ID : *

No file chosen

Upload your ID : *

No file chosen

PARENTS (OR LEGAL REPONSIBLE OR GUARDIAN) :

Name : *

First Name : *

E-Mail : *

Mobile phone : *

City (if different from the candidate) :

Postal code (if different from the candidate) :

Country (if different from the candidate) :

CHOSEN DANCE :

Classical and Modern-jazz

CATEGORY :

Preparatory (8-9 years)Elementary (10-11 years)Intermediary (12 years)

VARIATION CLASSICAL MUSIC :

if known at the registration date

Classical Title :

Composer :

Duration (in minutes and seconds) :

VARIATION MODERN-JAZZ MUSIC :

if known at the registration date

Modern-Jazz Title :

Composer :

Duration (in minutes and seconds) :

MUSIC 3RD VARIATION ADVANCED AND EXPERT

if known at the registration date :

Dance choice :

Title of the 3rd variation :

Composer :

Duration (in minutes and seconds) :

SCHOOL AND DANCE TEACHER

Name of your dance school : *

Name of your dance teacher : *

E-Mail from your dance teacher - school : *

Mobile Phone of your dance teacher :

City :

Postal code :

Country :

SCHOOL AND DANCE TEACHER MODERN-JAZZ (if different) :

Name of your dance school :

Name of your dance teacher :

E-Mail from your dance teacher - school :

Mobile phone of your dance teacher :

City :

Postal code :

Country :

TO KNOW YOU BETTER :

Have you ever participated to the competition ?

201920212022202320242025

CONFIRM AND PAY :

Consent regulation * See the regulation.

Viens danser.

Viens danser.

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