Clicking next stimulates the following: “Each signatory and all parties listed above agree to hold the organizers of this event and their agents, heirs and assigns harmless from all suits, claims or demands of every kind and character arising out of and in conjunction with this event.  We hereby authorize the reproduction, sale, copyright, exhibition, broadcast and/or distribution of any event still or video photography without limitation and further agree not to reproduce, distribute or sell videos or still photos of the event named above.  I (We) understand the physical risks of entering dance competitions and social dancing and assume full responsibility for any injury or personal damages resulting from the event named above.  Competitors hereby consent to the UCWDC®’s exclusive collection and use of all data supplied on this form for tracking and publicizing my (our) event results and agree to receive news about UCWDC® standings and activities.  I (We) certify that I am (we are) 18 years of age or older.  Stipulations apply to Legal Guardian if applicant is under 18 years of age.”

Personal information: Male Name																Surname  Address Street Number Town/city County Postcode country FEMale Name																Surname  Address Street Number Town/city County Postcode country