SWANSEA DUO/TRIO 2022

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

My Products

DUO (ALL GENRES)$30.00AUD

TRIO (ALL GENRES)$40.00AUD

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD

Credit Card

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 and 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 *

Clear

Ooh La La Dance Extravaganza

Credit Card