| Are you/your participants registered for the AKKA 2016 WKC? *
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Yes
No
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| Dance School (Gurukul) Name *
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| Teacher(Guru) Name (if it is solo performance) *
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| Dance Group Participants *
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| Dance presentation details (not more than 120 words)*
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0/120
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Dance Duration (in minutes - 8 min max)*
( Please refer to the program submission rules for duration requirements. Click
Here )
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| Number of Participants(only numeric upto 99 can be accepted)*
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| Performers Names (If it is group performance document all participants names here separate by semicolon)*
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| Teacher(Guru) Phone *
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| Teacher(Guru) Email *
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| Address *
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| Country *
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| Association representing *
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* Please verify your name and address for accuracy
* Your receipt will be sent to the email address provided above
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Please accept the terms and conditions before proceeding*
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| I acknowledge that this large public event is a place where people from all walks of life are going to be gathered in a
confined space. It carries with it the potential for death, serious injury and property loss. The risks include, but are
not limited to: actions of other people including, but not limited to, participants, volunteers, spectators, audience,
event officials, event monitors and/or producers of the event; weather, and/or other natural conditions. I hereby assume all of
the risks for myself and on behalf of my team for participating in this event.I certify that I am physically fit, have
sufficiently trained for participation in this event and have not been advised otherwise by a qualified medical person.
I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by AKKA WKC 2016 and the sponsors of
the event in which I may participate and it will govern my actions and responsibilities at aid event. In consideration of my
application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators,
heirs, next of kin, successors, and assigns as follows: (A) Waive, release, and discharge from any and all liability for my death,
disability personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling
to and from this event, THE FOLLOWING ENTITIES OR PERSONS: AKKA WKC 2016 and their organizing teams, directors, volunteers, sponsors,
representatives and agents. (B) indemnify and hold harmless all entities or persons mentioned in this paragraph from any and all liabilities
or claims made by other individuals or entities as a result of my actions during this event. I hereby consent to receive medical treatment
that may be deemed advisable in the event of injury, accident, and/or illness during this event. I understand that I and my team will act
professional and conduct ourselves prior, during, and after the event. I further understand that I may be asked to vacate the premises if my
conduct doesn't conform to standard and respectable human behavior.
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I have read, understood, and accept the terms and conditions for the program entry.
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Please accept the talent release conditions before proceeding*
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I authorize the AKKA WKC 2016 to make use of my appearance on my program.I understand that I won't receive any compensation for this
appearance. AKKA WKC 2016 shall have the complete ownership of the program. I give the AKKA WKC 2016 the right to use my name, likeness,
and biographical material to publicize the program and the services delivered during the program. AKKA WKC 2016 may: (1) Photograph
me and record my voice and likeness for the purpose of theproduction mentioned above, whether by film, videotape, magnetic tape,
digitally or otherwise; (2) Make copies of the photographs and recordings so made; (3) Use my name and likeness for the purposes of
education, promotion or advertising of the sale or trading in the photographs, recordings and any copies so made. (4) Telecast live
or at a later time on any broadcast media across the world.I further understand the master copy remains the property of AKKA WKC 2016
and that there will be no restrictions on the number of times that my name and likeness may be used.
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I have read, understood, and accept the talent release conditions.
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