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ENTRY

Please fill in the following form to register.

    Please choose a category to register:
    Name
    Gender
    Birthdate
    Year Month Day
    Affiliation name
    Affiliation address(If you are “No Affiliation,” please enter your personal address.)
    Zip

    *Please enter your address starting with the “prefecture.”

    Affiliation phone number(If you are “No Affiliation,” please enter your personal phone number.)

    *Please include hyphens to separate the digits.

    Phone number to contact on the day

    *Please include hyphens to separate the digits.

    Do you want to study abroad?
    Choreographer name
    Title of your work (in alphabet)

    *What you fill in will be on the brochure as it is.

    Title of the piece you perform
    Name of the composer
    Length of the piece
    Side of the stage you will enter
    Timing to start music
    Cue
    I agree to the terms and conditions
    Remarks(optional)
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