SYDNEY OCTOBER DUO/TRIO 2022

1st Competitors Name *

First Name Last Name

Age as of 1/1/22 *

Birth Date *

Day Month Year

2nd Competitors Name *

First Name Last Name

Age as of 1/1/22 *

Birth Date

Day Month Year

3rd Competitors Name

First Name Last Name

Age as of 1/1/22

Birth Date

Day Month Year

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Phone *

Dance Studio

My Products

DUO (ALL GENRES) $ 30.00 AUD

TRIO (ALL GENRES) $ 40.00 AUD

Subtotal $ 0.00 AUD Tax $ 0.00 AUD Total $ 0.00 AUD

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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 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 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 *

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Ooh La La Dance Extravaganza

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