Full Name (Pas de Deux / Ensemble) （Required）

Last Name
First Name

Participant Pas de Deux 2Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Pas de Deux 3Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Ensemble 2Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Ensemble 3Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Ensemble 4Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Ensemble 5Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

Participant Ensemble 6Full Name

Last Name
First Name

Gender

Male Female

Date of Birth

Year
Month
Day

If there are 7 or more participants, please send the data by email.
info@internationaldance.com

Gender（Required）

Male Female

Date of Birth（Required）

Year
Month
Day

Address（Required）

Postal Code

City

Ward / Street Address

Apartment / Building Name
（Room Number）

Telephone Number（Required）

Email Address（Required）

（確認用）

【Classical】

Please select your division.

Elementary I：6-8 years old Elementary II：9-11 years old Introduction for Junior A：9-11 years old Junior A：12–13 years old Junior A2：14-15 years old Junior B：16-18 years old Senior：19 years and above

【Contemporary Set Variation Division】

Please select your division.

Premiere Pas：6-11 years oldEtude：12-15 years old Pre-Professional：16 years and above

【Contemporary Choreography Division】

Please select your division.

Group 1：6-11 years old Group 2：12-15 years old Group 3：16 years and above

【Ensemble Division】

Please select your division.

Classical Ballet Contemporary Character Dance Jazz Dance

【Elementary Division】

Please select your set variation.

Please select your set variation. Click here for the variation choices

Set Variation 1 Set Variation 2 Set Variation 3 Set Variation 4 Set Variation 5 Set Variation 6 Set Variation 7 Set Variation 8 Set Variation 9 Set Variation 10 Set Variation 11 Set Variation 12 Set Variation 13 Set Variation 14 Set Variation 15

【Introduction for Junior A – Set Variations】

Please select your set variation.

The Fairy Doll from The Fairy Doll La Vestale Giselle Act I - Peasant Female Variation Don Quixote Act II - Cupid Raymonda - Pizzicato The Sleeping Beauty Act III - Florina Fairy of Kindness Fairy of Vitality Fairy of Magnanimity Canary La Fille Mal Gardée Graduation Ball

【Contemporary】

Please select your set variation.

Please select your set variation. Click here for the variation choices

Set Variation 1 Set Variation 2 Set Variation 3 Set Variation 4 Set Variation 5 Set Variation 6 Set Variation 7 Set Variation 8 Set Variation 9 Set Variation 10 Set Variation 11 Set Variation 12 Set Variation 13

【Contemporary Choreography Division】

Please enter and select
the repertoire, cue,
entrance, and duration.

Title of Repertoire

Composer

Choreographer

Music

Music Start On Stage at Rise Cue

Entrance to Stage

Stage Right Stage Left

Duration (within 3 minutes)

Minutes

Seconds

【Variation】

Please enter and select
the repertoire, cue,
entrance, and duration.

Click here for the variation choices

Title of Repertoire

Music

Music Start On Stage at Rise Cue

Entrance to Stage

Stage Right Stage Left

Duration (within 3 minutes)

Minutes

Seconds

【Pas de Deux Division】（Classical Ballet）

Please enter and select
the repertoire, cue,
entrance, and duration.

Title of Repertoire

Music

Music Start On Stage at Rise Cue

Entrance to Stage

Stage Right Stage Left

Duration (within 7 minutes)

Minutes

Seconds

【Ensemble Division】

Please enter and select
the repertoire, cue,
entrance, and duration.

Classical ballet contemporary character dance jazz dance

Title of Repertoire

Music

Music Start On Stage at Rise Cue

Entrance to Stage

Stage Right Stage Left

Duration (within 4 minutes)

Minutes

Seconds

Payment Method

Bank Transfer Credit Card

Name of Organization

Instructor’s Name

Instructor’s Email Address

Telephone Number

FAX

Address

Postal Code

City

Ward / Street Address

Apartment / Building Name
（Room Number）