Personal Information

    Name and Surname (mandatory)

    Birth Place (mandatory)

    Birth Date (mandatory)

    Address (mandatory)

    City (mandatory)

    Country Code (mandatory)

    Province (mandatory)

    State (mandatory)

    Personal Data

    Email (mandatory)

    Fiscal Code (mandatory)

    IBAN
    [in case of prezi money]

    Payable to

    Professional Information

    Division (mandatory)

    Category (mandatory)

    Stage
    YesNo

    1° performance(mandatory)

    Title(mandatory):

    Music (mandatory):

    Choreography (mandatory):

    Duration (mandatory):

    2° performance

    Title:

    Music:

    Choreography:

    Duration:

    This is mandatory for Juniores and Seniores category

    File Attachments

    Please convert your attachments in pdf and reduce their size with smallpdf.com

    Document Identity [.doc|.pdf]:


    Medical Certificate [.doc|.pdf]:


    Photo [.jpg|.pdf]:


    Bank Transfer Copy [.doc|.pdf]:

    NB:
    for minor partecipants is requested parent(s) or Legal Guardian(s) permissions
    Authorization [.doc|.pdf|.jpg]:

    Sending form constitutes acceptance of the competition notice from the Partecipants.

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