"IMKA" International Internet Dance Competition Application form
( DANCE TEAM NAME )
Name 1
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date Picker Icon
Name2
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date Picker Icon
Name 3
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date Picker Icon
Name 4
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date Picker Icon
Name 5
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date Picker Icon
Name 6
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date Picker Icon
Name 7
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date Picker Icon
Dance Group E-mail
Dance Institution Represented (If Any)
Coreographer :Title-of Music Name-YourName
Applicant Representative Guardian Name
First Name
Last Name
Category
Prodigy Kids 8 and younger
Kids 1 9-10 years old
Kids 2 10-11 years old
Kids 3 12-13 years old
Youngsters 14-16 years old
Young Players 17-19
Experienced 20-29 years old
No Age Limit
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