Free2Dance CAC 2019 Port Elizabeth
DELEGATES REGISTRATION FORM
PERSONAL INFORMATION
Name *
Your answer
Surname *
Your answer
Age *
Your answer
Gender *
Your answer
Physical Address *
Your answer
Email-Address *
Your answer
Contact Number *
Your answer
CHURCH DETAILS
Dance Leader *
Your answer
Church Name *
Your answer
Parent/Guardian Contact Name (If Delegate is 12 years and under)
Your answer
Parent/Guardian Contact Number (If Delegate is 12 years and under)
Your answer
CLASS SELECTION
Kindly note that kids from 12 years and under should attend the following classes (Worship Dance, Expressive Sign Language, African Dance, Hip Hop).


Delegates, 13 years and older should select 1 class per session.

Session 1 *
Session 2 *
Session 3 *
Session 4 *
SATURDAY GRAND FINALE EVENING
Cost:
Adults (R50pp)
Kiddies (R30pp) 10 years and under
Indicate, how many tickets you like for the Saturday Grand Finale? *
Your answer
CONFERENCE FEES
Adults (R350pp)
Kiddies (R250pp) 12 years and under
Conference Fee Payment Terms *
Indicate a payment date *
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