Ficha de Inscrição - Prefeitura de Caxias do Sul

Ficha de Inscrição
NOME DA ESCOLA/GRUPO/CIA.:______________________________________________
ENDEREÇO:_______________________________________________ CEP:___________
BAIRRO: __________________________TELEFONES:_____________________________
E-MAIL: ___________________________________________________________________
NOME DO RESPONSÁVEL:__________________________________________________
TELEFONES:______________________________________________________________
E-MAIL: ___________________________________________________________________
BREVE RELEASE DA ESCOLA/GRUPO/CIA:
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 ( ) Teatro Pedro Parenti ( ) Intervenção Urbana ( ) Vídeo-Dança
( ) Noite Infanto-Juvenil
 É necessário linóleo para a sua apresentação? ( ) SIM
( ) NÃO
 Necessitam de camarim no teatro? ( ) SIM ( ) NÃO
 Utilizarão 1 hora de ensaio durante a tarde? ( ) SIM ( ) NÃO
 Número total de integrantes que participarão:_________________________
 Número de ingressos do Teatro:___________________________________
 Modalidade predominante: ( ) contemporâneo ( ) clássica ( ) jazz
( ) hip hop
( ) dança de salão ( ) danças tribais ( )outra. Qual?__________________
1.NOME DA COREOGRAFIA:_________________________________________________
MODALIDADE DE DANÇA:___________________________________________________
COREÓGRAFO: ____________________________________________________________
INTÉRPRETE(S):___________________________________________________________
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TEMPO DE DURAÇÃO: ______________________________________________________
BREVE RELEASE DA COREOGRAFIA: _________________________________________
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2.NOME DA COREOGRAFIA:_________________________________________________
MODALIDADE DE DANÇA:___________________________________________________
COREÓGRAFO: ____________________________________________________________
INTÉRPRETE(S):___________________________________________________________
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TEMPO DE DURAÇÃO: ______________________________________________________
BREVE RELEASE DA COREOGRAFIA: _________________________________________
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3.NOME DA COREOGRAFIA:_________________________________________________
MODALIDADE DE DANÇA:___________________________________________________
COREÓGRAFO: ____________________________________________________________
INTÉRPRETE(S):___________________________________________________________
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TEMPO DE DURAÇÃO: ______________________________________________________
BREVE RELEASE DA COREOGRAFIA: _________________________________________
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Caxias do Sul, ____ de __________________ de 2016.
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Assinatura do responsável
ANEXO:
NOME DO INTEGRANTE
Checklist :
DATA DE NASCIMENTO
CPF
( ) FORMULÁRIO COMPLETO
( ) PEN DRIVE COM MÚSICAS EM MP3