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Dare To Dance
For any queries
Contact-
NISHAN N.
INTERNATIONAL SERVICE DIRECTOR
Rotaract Club of Mangalore City
WHATSAPP +91 9481902092
CONTACT NUMBER +91 9481902092
E-MAIL ID.
nishandevadiga1@gmail.com
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Name of the participant. ( If group performance, every individual have to fill seperate form but mention team name)
*
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E-mail ID
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Age
*
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Gender
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Male
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Dance form
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Solo or group
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Solo
Group
If group performance, name of the team.
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Contact number
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Whatsapp number
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Fathers name
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Mother's name
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Place of Residence
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Would you like to get notified about further Rotaract events and competitions
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Date of Birth
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Name of the educational Institution if Student
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