| Registration Form: Duo and Trio |
| Inspiration for a Lifetime |
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Printer Friendly Page: Please, (a) print it, (b) fill it out, (c) sign it, and (d) fax or mail it to the fax number or mailing address found on this and on all pages. (See, Contact page.)
Please, use separate Registration Form: Duo and Trio
for each set of Duo and Trio entrees. |
I would like to register for the Youth Ballet Prix in St. Petersburg, Russia 2007
the following Participants for the Duo and Trio category:
Spring YBP □ Summer YBP □ |
Please, note:
In the Duo and Trio category for the 3 dances
you may choose any one of the following combinations:
3 Dances for Duo (2 Participants); 3 Dances for Trio (3 Participants);
2 Dances for Duo and 1 Dance for Trio; 1 Dance for Duo and 2 Dances for Trio.
You do not have to decide it now. We will ask you for the details in due time.
Please, check one of the sub-categories: |
| I am registering for Duo □ | I am registering for Trio □ |
The names of the 2 (Duo) or 3 (Trio) Participants are: |
| 1. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 2. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 3. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
I am a Ballet Director (Teacher/Coach) □ | I am a Parent/Guardian □ |
Contact Information: |
| Last Name: | First Name: |
| Address: |
| City: |
| State/Province: | Zip/Country Code: |
| Country: |
| Telephone: |
| Fax: |
| Email: |
Ballet School/
Ballet Company |
Ballet Director (Teacher/Coach) or Parent/Guardian |
Signature: Date:
|
We will contact you in due time, regarding the details. |
Thank you for registering! |