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LANGUAGE

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ENTRY

Please fill in the following form to register.
*Depending on your mail setting, our auto-reply mail may not reach your mailbox.Please set your mailer so that mails from “info@kidc.jp” can be received.There have been some incidents where Hotmail didn’t receive our mail.Please check your mail setting.

    Total number of participants

    * Minimum number of the dancers is 5 dancers. Each additional 1 dancer costs JPY 7,000.

    dancers
    • Dancer1【Representative】
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer2
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer3
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer4
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer5
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    Register more dancers (Please fill in if there are more than 5 dancers)
    • Dancer6
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer7
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer8
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer9
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer10
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer11
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer12
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer13
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer14
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?
    • Dancer15
      Name
      Gender
      Birthdate
      Year Month Day
      Affiliation name
      Affiliation address
      Zip
      Affiliation phone number
      Phone number to contact on the day
      Do you want to study abroad?

    * If you wish to participate in a group of 15 dancers or more, please fill in the remarks space for information on the dancers from the 16th person.

    Instructor name
    Select piece to perform
    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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