LAKE MACQUARIE NOVEMBER DUOS & TRIOS 2021

Ooh La La Dance Extravaganza

LAKE MACQUARIE NOVEMBERDUOS & TRIOS
Duo Entry $26.00 Trio Entry $36.00
1st Competitors Name *

First Name Last Name
Age as of 1/1/21 *
Birth Date *

Day Month Year
2nd Competitors Name *

First Name Last Name
Age as of 1/1/21 *
Birth Date

Day Month Year
3rd Competitors Name

First Name Last Name
Age as of 1/1/21
Birth Date

Day Month Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone *
Dance Studio
Duo & Trios(All genres)
PAYMENT MUST BE DEPOSITED INTO THE OOH LA LA DANCE EXTRAVAGANZA ACCOUNT BEFORE THE ENTRY FORM IS SUBMITTED
Ooh la la Dance Extravaganza

BSB 062 322 - Account Number 10369028
Is this a transfer from a postponed competition? *
TOTAL *
Reference name used for payment (Competitors Name) *
Programs are now FREE and will be uploaded to our website and facebook (only) once they are finalised. No more email programs.
Email copy of your online entry:
Disclaimer *

I acknowledge I have read the rules and conditions for entering Ooh la la Dance Extravaganza I understand that Ooh la la Dance Extravaganza is not liable for loss or damage to any guests, vistors, employees or any persons property, nor for any injury or death of any guests, competitors or visitor whilst attending Ooh la la Dance Extravganza. I understand there is no refunds or transfers once this entry form has been submitted. I understand that if this esiteddfod was cancelled due to unforeseen circumstance. Entries won't be refunded, they will be transferred our next eisteddfod.
Should be Empty:

Ooh La La Dance Extravaganza

Duo Entry $26.00 Trio Entry $36.00

PAYMENT MUST BE DEPOSITED INTO THE OOH LA LA DANCE EXTRAVAGANZA ACCOUNT BEFORE THE ENTRY FORM IS SUBMITTED

Ooh la la Dance Extravaganza