Unofficial Registration Indonesia Championship Preliminaries
Hotel Kumala Pantai, Jl. Werkudara,Legian Kaja, Kuta, Bali - Indonesia
Telp/Whatsapp : +62 81 558 170598 (Desi)
www.icptango.com
Web Site
DANCER (LEADER)
First Name (LEADER)
*
Last Name (LEADER)
*
Date of Birth
*
ID or Passport
*
Country of Birth
*
Country of Residence
*
City of Residence
*
Phone Number
*
Email Address
*
I HAVE HAD A WORK, PROFESSIONAL OR PERSONAL RELATIONSHIP WITH ANY OF THE MEMBERS OF THE JURY FROM THE COMPETITION, IN THE LAST 6 MONTHS PRIOR TO THE CHAMPIONSHIP
*
Work
Personal
Professional (For example: I've taken classes with a jury member)
None
Categories You will Dance
*
Valz
Milonga
Senior
Your Signature
*
AGREE
All the information provided at the time of check-in will be considered a sworn statement
DANCER (FOLLOWER)
First Name (FOLLOWER)
*
Last Name (FOLLOWER)
*
Date of Birth
*
ID or Passport
*
Country of Residence
*
Country of Birth
*
City of Residence
*
Phone Number
*
Email Address
*
I HAVE HAD A WORK, PROFESSIONAL OR PERSONAL RELATIONSHIP WITH ANY OF THE MEMBERS OF THE JURY FROM THE COMPETITION, IN THE LAST 6 MONTHS PRIOR TO THE CHAMPIONSHIP
*
Work
Personal
Professional (For example: I've taken classes with a jury member)
None
Categories You will Dance
*
Valz
Milonga
Senior
PACKAGE
KUMALA PANTAI PACKAGE : USD 320/Couple - Available share for Two (2 person)
5 nights / 6 days accommodation in Kumala Pantai Hotel (August, 3rd – 8th).
PADMA PACKAGE : USD 760/Couple - Available share for Two (2 person)
5 nights / 6 days accommodation in Padma Resort (August, 3rd – 8th).
ICP PACKAGE : USD 390/Couple
3 days Milonga at Kumala Pantai Hotel (August, 4th, 5th, 7th).
Gala Dinner Show & Milonga, final at Padma Resort (August, 6th).
COMPETITOR PACKAGE B : USD 410/Couple
Championship entry for 1 category – Senior or Vals or Milonga
3 days Milonga at Kumala Pantai Hotel (August 4th, 5th, 7th).
Gala Dinner Show & Milonga, final at Padma Resort (August 6th).
ALA CARTE
ACCOMODATION : Based on sharing for 2 person/net/breakfast incl.
Padma Resort - Deluxe Room : 160 USD /room/night
Kumala Pantai Hotel - Deluxe Room : 70 USD /room/night
TRANSPORTATION
Airport – Hotel – Airport : on request
Hotel – Venue – Hotel : on request
MILONGA
3 days Milonga at Kumala Pantai Hotel (August 4 th ,5 th ,7 th ) : USD 180/Couple
Gala Dinner Show & Milonga at Padma Resort (August 6 th ) : USD 240/Couple
WORKSHOPS (SINGLE)
Single Workshop : USD 35/Person
Package 2x : USD 60/Person
Package 4x : USD 100/Person
WORKSHOPS (COUPLE)
Single Workshop : USD 70/Couple
Package 2x : USD 120/Couple
Package 4x : USD 200/Couple
CHAMPIONSHIP FEE ENTRY
Senior (50 years above) : USD 100/Couple
Milonga : USD 100/Couple
Valz : USD 100/Couple
Jack & Jill : USD 40/Couple
Payment
USD
Your Signature
*
AGREE
All the information provided at the time of check-in will be considered a sworn statement
