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Application Form for NAVIKA Nataraja
Application form to Collect details about the Dance program for NAVIKA 2015
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* Indicates required question
Item Title
*
Your answer
Dance Type
*
Classical
Semi-Classical
Folk
Filmy
Duration of Program (in minutes)
*
Your answer
Age Group
Your answer
Number of participants
*
Your answer
Theme (Dance Production)
Your answer
MC Script (How would you like to be Introduced, Preferably in Kannada)
Your answer
Names of Participants (Last Name, First Name)
Your answer
Contact Person's Name
Your answer
Choose One
Participant
Parent
Organizer
Choreographer
Clear selection
Address:
Your answer
Phone Number:
Your answer
Cell Phone Number:
Your answer
Email Address:
Your answer
Kannada Koota Affiliation:
Your answer
ADDITIONAL PROGRAM INFORMATION:
Have you uploaded/sent your performance audition video
Yes
No
Clear selection
If yes give details
Your answer
Have you included Audio/MP3/M4
Yes
No
Clear selection
Resource requirements (Select what you need)
Special Lighting Details
Special Scenes for Background
CD Player
MP3 Player
Fog Equipment
Projection Equipment
Microphones
Help to set up the props
Clear selection
Details of Background Scenes, Special Lighting and any other requirements
Your answer
Microphones (type/how many)
Your answer
Stage requirements needed
Your answer
Other Details
Your answer
I have read & agree to abide by the rules and regulations of the respective committees.
*
Yes
No
FORMS MUST BE SUBMITTED BEFORE June 15th 2015.
PARTICIPANTS WILL BE INFORMED OF THE FINAL DECISION BY June 30th 2015.
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