DANCE COMPETITION REGISTRATION

DOWNLOAD BELLY DANCE CONTEST

Name/Surname
Place and date of birth
Address
Zip Code
City
State
Telephone
E-mail

For children:

I, as a parent of the child, as indicated above, raises the responsibility of every organization, in order to participate, living, foster care and custody of her child for the period provided for the competition.

_____________________________________________________________________________________

Name Art of the soloist/group
Song title
Duration
Author of piece s
Author of the choreography

* For groups list names and attach documentation (as requested on the form above) of all components.