Tahiti Fete 2023 Couples Registration Form

Dancer #2: Please fill out all the information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
How old will you be on the day of the Fête?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Pupu Ori
Name of Pupu Ori or group
Ra'atira Pupu (Director)
Directors Name
Entry fee:
- $135 if between March 1st - April 30th, 2023
- $150 if between May 1st - June 15th, 2023
By placing your name below and submitting this registration form, you acknowledge your acceptance of the terms & conditions as well as the waiver of liability.
Name (or legal guardian if under 18)*

First NameLast Name
My Products
prevnext( X )
Copules Registration$135.00
$135 if registered between March 1- April 30th, 2023

Payment processing fee$5.00

Quantity

Total $0.00

Payment Methods

Please click one of the PayPal options to complete payment and submit the form.

Tahiti Fête of San Jose 2023