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Please complete the form below if you would like to enter the Dance4Africa dance competition.

First Name:*
Last Name:*
Male Female
Dance Category:*
No. of years of experience in this dance Category
Date Of Birth:*
Address 1:*
Address 2
Area Code:*
Tel Number
Mobile Number
Are you currently registered with a dance school/theatrical performance/ show?
Yes No
If yes please advise relevant info