Australian TANGO Championship

On-Line Registration for Salon & Stage Tango

Female Competitor

First Name:
Surname:
Date of birth:
Street Address:
Suburb:
Postcode:
State:
Email Address:
Day Number:
Mobile:
Male Competitor First Name
Surname:
Date of birth:
Street Address:
Suburb:
Postcode:
State:
Email:
Day Number:
Mobile:
Category:
Qualifying Round:

Disclaimer
The Australian Tango Championship takes no responsiblity for any loss, damage or injury caused or sustained by you in relation to your participation in the tango championship however caused. By agreeing to participate, you accept all risks and responsibility for, and indemnify and release the Australian Tango Championship from any liability for any loss, damage, costs and other consequences resulting directly or indirectly from your attendance at or participation in the 2007 Australian Tango Championship.