Nachange Saari Raat - Application Form

Registration form

Contact Information
Name*:
Home Phone #*			Cell Phone #:
Address:			City:
State:			Postal Code:
E-mail*:
Date of Birth:
Occupation:

Emergency Contact
Name:
Phone #
Relation:

Performance Information for all the applicant
Have you or any of your partners ever been trained for dance? If Yes, then when and from where?
Competing for Solo or Couple?	Solo Couple Group
If Couple or Group, please provide the names of your partner or group members.	1. 2. 3. 4. 5. 6. 7. 8.
Style of dance to be performed at Nachange Saari Raat
How did you hear about "Nachange Saari Raat"?	Facebook Newspaper Radio Television Other

Comments

By selecting this option, you confirm that you accept the terms and condition of Nachange Saari Raat.*

Selections for auditions are on a first come- first served basis! Only selected people shall be contacted. Due to the number of audition spots being limited, you must await a confirmation email in order to secure an audition spot.

Terms and conditions

You must be of age 15 or over.
You will be responsible for your own costume and choreography.
You are responsible of providing us with your music.
You are to participate in NSR’s grand finale, if you make it through to the final day.
Any cancellations must be made 48 hours prior to audition day!
I agree and authorize that Mosaic festival, Nachange Saari Raat will broadcast and use my audition/final performance on television in the other Media.