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Dance Prodigy 2011 Dance Prodigy - The Global Virtual Dance Competition | www.ibsdp.org

IBS Presents DANCE PRODIGY 2010 The Global Virtual Dance Competition | www.ibsdp.orgDance Prodigy 2011 Dance Prodigy - The Global Virtual Dance Competition | www.ibsdp.org

IBS Presents DANCE PRODIGY - ibsdp.org - Logo

 

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Dancer Information Form

 
 Printable Web Pages  |  Three ( 3 ) Pages:   
 1. ENSEMBLE Registration Form  |   2. Dancer Information Form  |  3. Release Agreement 
 Please, FAX The Three ( 3 ) Pages to one of the FAX numbers: 
 TOKYO: +81-3-4496-4764  ▪  NEW YORK: +1-212-504-3246  ▪  VIENNA: +43-1-253-03330017 
 

DANCE PRODIGY, 590 Madison Avenue, 21st Floor, New York, NY 10022  USA
E-mail: admin@ibsdp.org  ▪  Website: www.ibsdp.org  ▪  Telephone: +1-212-504-3246  ▪  Fax: +1-212-504-3246

 
   
 DANCE SCHOOL NAME: 
 1. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 2. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 3. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 4. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 5. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 6. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 7. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 8. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 9. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
 10. Dancer: First NameMiddle NameLast Name 
 AddressCity 
 State/RegionZip/Postal CodeCountry 
 E-mail:Telephone:Age: 
   
     Please, Continue to the  Release Agreement  Page  →     
 

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