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* 1. Full name

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* 2. Age/ages of group

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* 3. Email Address

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* 4. Name of group

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* 5. What city or town are you based in?

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* 6. How many dancers are in your video?

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* 7. What style of dance do you use in your video?

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* 8. If you are under 16 years old please complete the following section. Completing this section is giving consent that an adult is consenting to your participation in this project:

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* 9. Please click on this link to submit your video: roswithachesher.wetransfer.com

Please tell us the name of your video file below:

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* 10. I understand that by submitting my video / images I agree for them to be used on The Place and partner organisation's websites, social media platforms, the final video broadcasted publicly online and for marketing purposes.

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