JUNE 26th to 28th SOLOS/DUOS/TRIOS DANCE and SINGING 2022

JUNE 26th to 28th SOLOS/DUOS/TRIOS DANCE and SINGING 2022

Venue 114, Lake Kawana Community Centre
Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City State

Post Code
E-mail*

Confirmation Email
Date of Birth*

MonthDay Year
Date
Age as at 1st January 2023
Age
Age Cutoff Date

DayMonth Year
Date
Duo Partner Name

First Name Last Name
Duo Partner Date of Birth

MonthDay Year
Date
Trio Partner Name

First Name Last Name
Trio Partner Date of Birth

MonthDay Year
Date
Studio Name*
Phone*
Do you want to Enter My First Year on Stage?*
Do you want to Enter Major Titles*

Eisteddfod Fees $

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