Preapplication Duets FIRST DANCER Surname* Name* Birthplace* Date of birth* Address* City* Zip Code* Country* State* Phone* Email* SECOND DANCER Surname* Name* Birthplace* Date of birth* Address* City* Zip Code* Country* State* Phone* Email* SECTION AND CATEGORY Selected Section* [radio radio-587 use_label_element default:1 “Ballet “Modern dance”] Selected Category* Children (9-13 years old)Seniors (from 14 years old and over) DANCE SCHOOL DATA Name of the dance studio CHOREOGRAPHY NOTES Title* Music track* Upload file audio* (MP3 format, max 8 MB | rename the file as NAME_SURNAME.mp3)* Choreographer* Duration* I declare that I have read fully and carefully the regulation of the Competition and, by signing this application, I declare that I accept it in its entirety. Pursuant to the provisions of Legislative Decree no. 196/2003, I authorize the ASD Breathing Art Company to process, communicate and disseminate my personal data for the purposes referred to in this application for participation in the “San Nicola” International Competition. I also authorize the use of the images for the purposes permitted by law. I also relieve the organization from liability in the event of damage/theft to things and people, independently providing insurance coverage.
