ADULT DUO
Full Name
Your Email
UK NATIONAL STREET DANCE CHAMPIONSHIPS SUNDAY 24TH OCTOBER 2010
Address
Postcode
The organisers take no responsibility for any personal injury to competitors whilst attending this event. All competitors do so at their own risk with regard to health, fitness and training. The event is being filmed and the organisers reserve the right to use competitor’s names and images for any purpose for this and any future events. All competitors under the age of 18 years must have their parents permission to take part.
M A I N C O N T A C T D E T A I L S
D U O I N F O R M A T I O N
Dancer 2 (Name)
Dancer 1 (Name)
Phone No.
Based (town)
SELECT ENTRY FORM
