IZD2017 :: REGISTRATION FORM
Hello and Welcome to the International Zouk Day 2017.

Please fill this form to Officially REGISTER yourself as a Local Coordinator and to REGISTER your Local Team for the International Zouk Day 2017.

NOTE: Please provide ONLY ONE 'Current' Email Address. Please ensure it is valid and in use - as your submitted form's Response Receipt is linked to it. The IZD OT will not be held responsible for bounced/missed emails from inactive accounts. As and when required, IZD OT will use this email address for any future communication.

DECLARATION:
By filling this form, you declare that you have read, agreed with, and will abide by all the Terms & Conditions of Participation in the IZD2017, enclosed in the following link:
https://docs.google.com/document/d/1Bvx_wHaCu3adFu0NP1iYPWz9112G5vxNL2YNZTJ7EEQ/edit?usp=sharing

Email address
COUNTRY
Your answer
CITY
Your answer
School or Team Name
Your answer
Local Coordinator(s)
Please provide your 'real' full name(s), and separate them with an " & " (ampersand).
Your answer
Local Coordinator(s) - Personal FACEBOOK LINKs
Please provide full links for ACTIVE Facebook accounts, and separate them with an " & " (ampersand). There are times when we cannot find your profile by name alone. The IZD OT will not be held responsible for not being able to connect with you, if your details are incomplete/incorrect.
Your answer
YOUR IZD2017 Facebook Page : LINK
where people who may be interested in joining, can find you.
Your answer
What will be your main feature for IZD2017?
Check all that apply.
Required
Have you participated in the IZD before?
Is Zouk danced in your city?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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