Online Application Form: Contemporary Category

Name *

First

Last

Email *

Date of Birth//

Gender *

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

Please select your Division *

Please select your age group *

Please select your age group *

Name of Contemporary Solo *

Choreographer of Contemporary Solo *

Music of Contemporary Solo *

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 a file to this area to upload.

Payment Option *

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