Beg/Inter Solo Application

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Complete this form before submitting your payment. Please make sure you include the age the dancer will be the day of the competition.

One application per dancer.

Email *

Soloist First Name *

Soloist Last Name *

Gender *

Male

Female

Date of Birth *

YYYY

Ages of Dancer (As of the day of the competition) *

Pupu 'Ori *

Pupu 'Ori Hometown *

Ra'atira(s) - First/Last Name *

Ra'atira Contact Email *

Intent to compete in: *

Exhibition

5-7 Tamahine

5-7 Tamaroa

8-11 Tamahine

8-11 Tamaroa

12-15 Taurearea Vahine

12-15 Taurearea Tane

16-20 Vahine

16-20 Tane

21-25 Vahine

21-25 Tane

26-31 Vahine

26-31 Tane

32-39 Vahine

32-39 Tane

40-45 Vahine

40-45 Tane

46+ Vahine

46+ Tane

***HOLD HARMLESS*** I hereby agree to abide by all Rules & Regulations set forth by HURA TAHITI/TE FANO O TE RA INC. I will not hold HURA TAHITI/TE FANO O TE RA INC responsible for loss or damage to personal property, bodily harm or injury during this event. I hereby give exclusive rights to HURA TAHITI/TE FANO O TE RA INC to use all photos/videos taken during this event for promotional considerations. Hence I affix my signature in agreement to all mentioned herein. (please type in your name as signature to the above Hold Harmless) *

Send me a copy of my responses.

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