Ballet Nights Young Ambassador Indonesia

1
Student Name* This field is required.
First Name
Last Name
2
Birth Date* This field is required.
Day
Month
Year
3
Gender* This field is required.
Please Select
Please Select
Male-identifying
Female-identifying
Prefer not to disclose
4
Are you an Indonesian Citizen?* This field is required.Please clarify your status.
Please Select
Please Select
Yes, I hold citizenship & I am training
Yes, I hold citizenship & I am working
No, but training or living full time in Indonesia
5
Vocational/Dance School Student Currently Attends* This field is required.If permission is required, please seek this from the Director/Principal of your school
6
Awards and AchievementsPlease add as appropriate
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Ok
Ok
7
Parent/Carer Full NameIf under 18
First Name
Last Name
8
Parent/Carer E-mailIf under 18
example@example.com
9
Parent/Carer Mobile NumberIf under 18
10
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Street Address
Street Address Line 2
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Postcode
Indonesia
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11
Audition Selection* This field is required.Please choose an audition ticket
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Order Summary
Total costGBP
Ballet Nights Young Ambassador IndonesiaAudition will take place on the December 14th at the Taman Ismail Marzuki studios.
£9.00Edit
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Total cost £0.00
12
Would you like to be added to the Ballet Nights Mailing list for exclusive access to show updates, behind-the-scenes insights, performer spotlights, and priority offers for Ballet Nights events in South East Asia?
YESNO
13
Invoice ID
14
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