Category	【Ensemble Junior】Age 7-16 【Ensamble Senior】Age over 17
School or Group Name
Name of principal / Director
Name of Coach
Address
Phone number
Emergency call number
Fax
E-mail
Title
Length of Peform	Min　 　Sec
Candidates entrance	From stage left From Stage right
Timing of music start	Music start before dancing Music start when the dancers placed on stage There is certain timing of music start
Number of participants

* If the number of participants is 3 or less, please enter the following participant name and date of birth.

* If there are 4 or more than participants, please send email to hibc@jmds.jp with the name and date of birth.

1st participant

Name
Date of birth	year 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 month 1 2 3 4 5 6 7 8 9 10 11 12 day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2nd participant

Name
Date of birth	year 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 month 1 2 3 4 5 6 7 8 9 10 11 12 day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

3rd participant

Name
Date of birth	year 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 month 1 2 3 4 5 6 7 8 9 10 11 12 day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

* If there are 4 or more than participants, please send email to hibc@jmds.jp with the name and date of birth.

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Notes on payment

• Please note that you will still be required to pay the registration fee even if you cancel before the transfer after applying on the Web.
• Once paid, the entry fee will not be refunded in any case.
• Within 48 hours after web application, you will receive an e-mail with payment information from the Competition office. Please transfer the participation fee within 3 days from the notice.

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