Choreographer/ Coordinator Name
*
Email Address
*
Phone Number
*
Organization / Dance School Name
*
Location (City)
*
Team/ Group Name
*
Type of Performance
*
Select
Classical Dance
Semi Classical Dance
Folk Dance
Filim Dance
Other
Age Group
*
Select
4 to 8 yrs
8 to 12 yrs
13 to 19 yrs
Adults
Music / Song Title
*
Number of Performers
*
(Due to large number of entrees and limited availability of stage time, any entry with less than 6 performers WILL NOT BE ACCEPTED and also, priority will be given to larger group.)
Names of the performers
*
Enter First and Last Names of each Performer, one per line.
Description of the Performance
*
Short Description of your Performance
Consent
*
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND AGREE TO THE GUIDELINES PUBLISHED FOR PERFORMING AT INDIA DAY
Total Amount
$
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Pay with
Zelle
Make the payment to
Treasurer@ilamichigan.org
and enter the
Payment Reference
here
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