FOG Republic Day 2017 - Jan 28th Dance Competitions & Performances Registration Form - fogsv.org - Oct 15th, 12pm to 5pm
Fill the Registration form to enroll to Dance Competitions & Performances @ FOG Republic Day Celebrations - www.fogsv.org - organized by Dr.Japra ( FOG Founder/Convenor )
Jan 28th Saturday, 2017 @ Santa Clara Convention Center, Santa Clara
* NO Registration Fee Required *
Contact with any Qs - JYOTSNA BENDAPUDI 408 685 4234 (FOG Cultural Chair)
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First Name *
Last Name *
Interested in *
You can enroll dance to compete or perform  
Dance Style Category *
(Select at least 1)
Age Group *
Phone number *
Enter in format xxx-xxx-xxxx
Email Id *
Total number of Performers for Dance Competition *
For Group dance, select total number of performers
Competitor Names & Email Ids Ex: Name <Email ID > *
To be filled in case of Group dance. Mandatory to provide Full Names & Email Ids of all performers/parents separated by ";"
Dance School or Group Name ( Only for dance Category )
Name of current dance school you are associated with [if any]
Song(s) Name
Name of the Song(s) being performed
3min MAX - Song Duration  
Duration/Length of the Song(s) being performed [mm:ss]
Audition Video - Provide by Mid-Jan (Youtube URL or Google Drive Link )
Link/URL for your audition video e.g. https://www.XYZ.com. If not available right now, please discuss with Jyotsna
Parent's Full Name
To be filled if participant is below 18 years
*
Required
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