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FOG Independence Day 2018 - Aug 18th Dance Competitions & Performances Registration Form - - 10am to 6pm
Fill the Registration form to enroll to Dance Competitions & Performances @ FOG Independence Day Celebrations - - organized by Dr.Japra ( FOG Founder/Convenor )
Timings : 10AM to 6PM
Aug 18th Saturday, 2018 - Competitions @ Fremont Mela open grounds near walnut creek & PaseoPadre, Fremont
* $25 Registration Fee Required for Solos / Groups Competitions * - Paypal ( send the receipt proof )

Aug 19th Sunday, 2018 - Selective 2 hour Performances - no need of reg fee

FREE ENTRY for everyone
Contact with any Qs - JYOTSNA BENDAPUDI SHARMA 408 685 4234 (FOG Cultural Chair)

First Name *
Your answer
Last Name *
Your answer
Interested in *
You can enroll dance to compete or perform
Dance Style Category *
(Select at least 1)
Interested in Solo or Group
Age Group *
Phone number *
Enter in format xxx-xxx-xxxx
Your answer
Email Id *
Your answer
Total number of Performers for Dance Competition *
For Group dance, select total number of performers
Competitor Names & Email Ids Ex: Name <Email ID > *
To be filled in case of Group dance. Mandatory to provide Full Names & Email Ids of all performers/parents separated by ";"
Your answer
Dance School or Group Name ( Only for dance Category )
Name of current dance school you are associated with [if any]
Your answer
Song(s) Name
Name of the Song(s) being performed
Your answer
3min MAX for Group & 2min MAX for Solo - Song Duration
Duration/Length of the Song(s) being performed [mm:ss]
Your answer
Parent's Full Name
To be filled if participant is below 18 years
Your answer
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