Competitor Information Form

USA IBC Competitor Profile Information

The following information will be helpful as we compile dancer profiles for our commemorative program and the media. Please answer the following questions with honesty and accuracy. If any questions do not apply to you, simply type N/A.

COMPETITOR INFORMATION

Name*

First Last

Age*

Gender*

Division*

Email*

Country Represented*

Country

Where were you born?*

Where do you live now?*

What or who inspired you to study dance?*

How many years have you studied dance?*

Name of ballet school(s), teachers, companies:*

Why did you want to come to the USA International Ballet Competition?*

Who has had the most influence on your dance career to date?*

What awards have you won?*

If you are not American, is this your first visit to the United States?*

Is this your first visit to Mississippi?*

Competitor cell phone number*

Coach cell phone number*

HOMETOWN NEWSPAPER/MEDIA INFORMATION

We will send your hometown newspaper or other media outlet an announcement regarding your participation in the 2018 USA IBC.

Name of newspaper or media outlet*

Mailing Address of Newspaper or Media Outlet*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email for Newspaper or Media Outlet*

SOCIAL MEDIA

Follow us on Facebook: www.facebook.com/usaibc/

Twitter: @usaibc

Instagram: usaibc

Please use #usaibc2018 and #danceJackson

Your Instagram Username*

Your Twitter Username*

Your Facebook Address*

Competitor Profile Information

USA IBC Competitor Profile Information