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July 15, 2017 - July 16, 2017

Jr. Qualified American

$60.00

Applicant’s Name *

Applicant’s Name. Please Input as First Name Last Name

Date of Birth *

Please format as mm/dd/yyyy. It will be used to determinate if applicant qualify for this age group

Mailing Address

Applicant’s Address, Please fill out your mail address, in case we need to mail you the name tag, certificate and etc.

Phone Number *

Email Address *

Please make sure all characters of email address are in lower case

Applicant’s School

Teacher’s Name

Teacher’s Phone Number

Teacher’s Email

Please make sure all characters of email address are in lower case

Year of Study

Event Expired
SKU: PN/JA Categories: ,

Description

One piece, 4 minutes maximum performing time.  2 or less years of study.

Additional information

Age Group

Age 7 or younger, Age 8, Age 9, Age 10, Age 11, Age 12, Age 13, Age 14, Age 15, Age 16, Age 17, Age 18-19

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