Dancer Registration

DANCER

Membership

Club / Studio / Primary School / Secondary School / Other
Name of dance school*
Town & Province*
Studio Head*
Studio Head cell nr*
Dancer Details
Gender*
Race*
Passport*
Passport Nr*
Date Issued*
Year
Month
Day
Expiry date*
Year
Month
Day
Visa*
Country*
Visa Nr*
Date issued*
Year
Month
Day
Expiry date*
Year
Month
Day
Name*
First Last
ID Number*
Copy of ID*
Max. file size: 64 MB.
Phone*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Section
Line Dance*
(WCDF)
Classic Couples*
Pro-Am Couples*
Age Group*
I agree*
- I accept the Terms & Conditions

DANCER