36 st. kursi

Country:

WDSF/LSDF number:

Nickname or team name:

Name/surname:

Year of birth:

Licenses:

WDSF/LSDF number:

Name/surname:

Year of birth:

Licenses:

Valid couple:

Valid couple (LSDF):

Clubs:

Name of dance organization:

Leader of dance organization (Name, Surname):

E-mail:

Phone:

Name:

Reg. Nr.:

Legal address:

Bank:

IBAN account:

Name of dance team:

Name of the performance:

Name of the coach/choreographer (Name, Surname):

Age group:

Dance style:

Group size:

Level:

Nr.	Name Surname	Date of birth (dd/mm/yyyy)	Name of other group, if dance also in another team
1.				×

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36 st. kursi

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