• Band Information

• Dabka Band Name*
• How many band leaders?*
  Please Select 1 2
• How many band members?*
  Please Select 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
• Age Group*
  Please Select Children Dabka [Under 13] Youth & Adults [13 and up]
• Group Gender*
  Please Select Males Females
• Group Gender*
  Please Select Males

• For age of 13 year old and up, Males only

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• Coaches/Band Leaders Information

• Coach Information

• Full Name *
  First NameLast Name
• Email*
• Phone Number*
  Please enter a valid phone number.
• Address*
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code
• Leader 1 Code
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• Second Coach Information

• Full Name*
  First NameLast Name
• Email*
• Phone Number*
  Please enter a valid phone number.
• Address*
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code
• Leader 2 Code
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• Band Members Information

• Member (1) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (2) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (3) Information

• Full Name*
  First NameLast Name
• Age*
• Gender*
  Please Select Male Female
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• Member (4) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (5) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (6) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (7) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (8) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (9) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (10) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (11) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (12) Information

• Full Name*
  First NameLast Name
• Age*
• Gender*
  Please Select Male Female
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• Member (13) Information

• Full Name*
  First NameLast Name
• Age*
• Gender*
  Please Select Male Female
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• Member (14) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (15) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (16) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (17) Information

• Full Name*
  First NameLast Name
• Age*
• Gender*
  Please Select Male Female
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• Member (18) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Member (19) Information

• Full Name*
  First NameLast Name
• Age*
• Gender*
  Please Select Male Female
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• Member (20) Information

• Full Name*
  First NameLast Name
• Gender*
  Please Select Male Female
• Age*
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• Video Upload (File Type zip, mp3, wma, mpg, or avi)*
  Browse Files

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• Song Lyrics*
• Signature
• Submit
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