DANCE REGISTRATION

First Name:

Last Name:

Date of Birth:

Gender: Gender:MaleFemalePrefer not to say

Email Address:

Phone Number (123-456-7890):

City:

Province:

Stage/Group Name:

Dance style:

How many members in your act?:

How long have you been performing?:

What has inspired your dancing the most?:

MANDATORY - Submit links to 1-2 videos of you performing LIVE

How did you hear about YOUTH DAY?:

Have you performed at YOUTH DAY before?: Have you performed at YOUTH DAY before?:YesNo

Yes I have: Yes I have: 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007

What would participating at YOUTH DAY mean to you?:

Your social media handles / website link(s):

I agree that all information given is true to the best of my knowledge and that no false information was given I agree that all information given is true to the best of my knowledge and that no false information was given yes