APPLICATION REGISTRATION FORM

International Asia-Pacific Pole & Aerial Acrobatic Championship 2021

Vladivostok,Russia
Event Date : 14 November 2021
Entry open day: 15 August 2021
Entry deadline: 1 November 2021
Championship venue night club “Submarine“

Personal data:

Full name of participant
Nomination
You country, town
Passport nationality
Date of birthday (DD/MM/YYYY)
Full time profession for
Pole school you are representing
E-mail address
Contact telephone numbers (including country codes)
Link to YouTube video

Competiton titles you hold and which year

Nominations:

I am interested to compete in the following nominations (tick as applicable)

Professional category
Amateur category
Junior category
Kids category

International Asia-Pacific Pole Acrobatic Dance Championship, request that you uploud a 4 minutes long video clip to Youtube or a DVD for selection to ensure professional standards.

Declaration:

check this box if agree
I, agree to the rules for the International Asia-Pacific Pole & Aerial Acrobatic Championship Championship events &competitions and accept responsibility for my actions throuth out the competitios of undestand it break any of rules stated on the "IAPPAC" events & competitions rules and regulation forms this result in disqualification.

Data: 28-09-21

International Asia-Pacific Pole & Aerial Acrobatic Championship Championship ( IAPPAC)
International Asia-Pacific Pole Acrobatic Association ( IAPPA)