WOOLGOOLGA DUOS & TRIOS 2022

Ooh La La Dance Extravaganza

WOOLGOOLGA DUOS & TRIOS 2022
Duo Entry $28.00 Trio Entry $38.00
1st Competitors Name*

First NameLast Name
Age as of 1/1/22*
Birth Date*

DayMonthYear
2nd Competitors Name*

First NameLast Name
Age as of 1/1/22*
Birth Date

DayMonthYear
3rd Competitors Name

First NameLast Name
Age as of 1/1/22
Birth Date

DayMonthYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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
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:
PLEASE ENSURE YOU HAVE READ OUR RULES AND CONDITIONS REGARDING OUR NO REFUND POLICY ON OUR WEBSITE & YOU HAVE READ AND TICKED THE DISCLAIMER. IF YOU DON'T AGREE TO THIS PLEASE DON'T SUBMIT YOUR ENTRY.
Disclaimer*

I acknowledge I have read the rules and conditions for entering Ooh la la Dance ExtravaganzaI 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 eisteddfod was cancelled due to unforeseen circumstance or COVID restrictions and lockdowns. Entries won't be refunded, they will be transferred our next eisteddfod.
Signature - I agree to the above disclaimer and the rules and conditions for entering Ooh la la Dance Extravaganza *

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Ooh La La Dance Extravaganza

Duo Entry $28.00 Trio Entry $38.00

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

Ooh la la Dance Extravaganza