Online Application Form: Classical Category

Name *

First

Last

Email *

Date of Birth *//

Gender *

Female
Male

Nationality *

Representing Country *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact person if you are under 18 years

Entry Details

Please select your Level *

Group A: students who train up to 5 hours in a week
Group B: students who train more than 5 hours in a week

Please select your Division *

Children Division
Junior Division
Senior Division

Please select your Division *

Please select your age group *

8-9 years old
10-11 years old

Please select your age group *

15-17 years old
18-19 years old

Pas de Deux Partner's Name *

Partner's Date of Birth *//

First Round: Name of Classical Variation *

Second Round: Name of Classical Variation *

One Round: Name of Classical Variation *

Please enter the name of your Dance School (If you are not representing a school, please enter "Independent Dancer") *

Social Media (If applicable)

All media provided by participants and the New Century Culture Exchange Association may be used for commercial or promotional purposes.

How did you hear about us *

If other... *

Please upload a headshot *

Click or drag files to this area to upload. You can upload up to 2 files.

Pas de Deux: both dancer's head shot is required

Please upload a dance photo *

Click or drag files to this area to upload. You can upload up to 4 files.

Payment Option *

Paypal
Credit Card

Stripe Credit Card *

Card

Name on Card

Total Payment *

0,00 €

Checkboxes *

I have read and agree to the Privacy Policies

Checkboxes (copy) *

I have read and consent to the Video/Photograph Release