Troupe/Group Registration Registration FormInstructions - The submitter must be over 18 years old. - Date of birth can be typed in dd/mm/yy order. - If the group has more than 15 competitors, simply submit a second form. - The submitter will receive all correspondence about the entrySubmitters detailsIs the person submitting the form *Parent/GuardianTeacherCompetitor (must be over 18 years old)Submitters name *Submitters address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountrySubmitters phone number *Submitters email *CCE MembershipYES, I also want to join the CCE as a member ($5 joining fee, $2 annual renewal) CCE Members receive agenda & minutes of every general meeting that is held. Meetings are held on the first Wednesday of the month, 7:30pm at Central Coast Leagues Club.YESAre you available to do volunteer work at events YESNOWorking With Children Check ID (WWCC) All volunteers will need to supply a valid WWCC and date of birth. If you don't have one it's a simple process and free for volunteers.Acknowledgement of RulesDo you want all CCE correspondence to be sent to your email address YES, I prefer emailNO, please postI have read the Rules and agree to abide by them *YES, I agreeCompetitors detailsTroupe / Group name *Competitor 1 name *Did you compete in the Eisteddfod in the last 5 years ? *YESNOCompetitor 1 date of birth *Competitor 1 email *Competitor 2 name *Did you compete in the Eisteddfod last year ? *YESNOCompetitor 2 date of birth *Competitor 2 email *Competitor 3 name *Did you compete in the Eisteddfod in the last 5 years ? *YESNOCompetitor 3 date of birth *Competitor 3 email *Competitor 4 name *Did you compete in the Eisteddfod last year ? *YESNOCompetitor 4 date of birth *Competitor 4 email *Competitor 5 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 5 date of birth Competitor 5 email Competitor 6 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 6 date of birth Competitor 6 email Competitor 7 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 7 date of birth Competitor 7 email Competitor 8 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 8 date of birth Competitor 8 email Competitor 9 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 9 date of birth Competitor 9 email Competitor 10 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 10 date of birth Competitor 10 email Competitor 11 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 11 date of birth Competitor 11 email Competitor 12 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 12 date of birth Competitor 12 email Competitor 13 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 13 date of birth Competitor 13 email Competitor 14 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 14 date of birth Competitor 14 email Competitor 15 name Did you compete in the Eisteddfod in the last 5 years ? YESNOCompetitor 15 date of birth Competitor 15 email Teachers DetailsName *Business Name *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone number *Teacher/Business Email *Sections to enter (if you need more, just register again)Section No : *Section No : Section No : Section No : Section No : Section No : Section No : Section No : Section No : Section No : VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
