2021 Heard Museum Hoop Dance Contest Registration Form | Heard Museum
ADVANCING AMERICAN INDIAN ART

2021 Heard Museum Hoop Dance Contest Registration Form

Registration Form

Streaming world-wide on Facebook and YouTube February 13, 2021

DEADLINE TO REGISTER:
11:59 p.m. Arizona Time, Monday, January 11, 2021

DEADLINE FOR VIDEO SUBMISSION: 11:59 p.m. Arizona Time, Monday, January 18, 2021

Please Read
All entrants must complete and submit this form. Required fields are noted with an asterisk (*).

One registration form must be completed for each contestant – group entries will not be accepted.
Please direct any questions concerning registration to hoopdance@heard.org.

IMPORTANT
Registration for children 13 years and under must be completed by a parent/guardian. Permission to perform will be confirmed via email/phone.

Within three (3) business days, your Registration Form will be reviewed and verified. Upon verification of eligibility, you will receive an email at the address you provide with further instructions for your video submission.


    Fields/areas with an "*" are required

    Division Category*

    Tiny Tot (0-5)Youth (6-12)Teen (13-17)Adult (18-39)Senior (40+)

    Contact Information*

    First Name
    Last Name
    Date of Birth

    Address

    ,
    ,
    USACanada
    Phone
    Personal Email
    Please make sure your email is correct, as important information is sent over email communications.

    Parental Contact Information

    If the entrant is 13 years of age or under, a parent/guardian must complete and submit this form in order for the entrant to participate.

    If the entrant is between 13 and 18 years of age (or age of majority in your jurisdiction, whichever is higher), a parent/guardian must provide permission for entrant’s participation.

    Parent/Guardian Name If over 13, type "N/A" in each field

    Parent/Guardian Contact Information(email AND phone no.)

    Personal Information

    Social Media Handle(s) (Please include all that apply)
    Facebook
    Instagram
    Twitter
    Snapchat
    Other

    Tribal Affiliation(s)* (Please include all that apply)

    Enrollment/Reserve/Status Number*

    Please attach a copy of your letter/card here. Accepted file types: .jpg, .png, .pdf. File size must be less than 5MB. Scanned or photographed cards should be 72dpi an no larger than 800px wide.*

    Biographical Information

    Age*

    Hometown*

    Biographical Information
    What inspired you to begin to Hoop Dance? Who taught you to dance?

    Schools attended

    Goals for the future/ college area of study

    Hobbies, special interests, something else you'd like to share

    Titles won (if any)

    What type of hoops do you use in your dance?*
    CanePlastic
    Other

    • I represent to the Heard Museum that I am the parent/guardian of the child to be registered for the contest;
    • I acknowledge that my consent is required for the collection, use, or disclosure of my child’s personal information, and that the Heard Museum will not collect, use, or disclose my child’s personal information without my consent;
    • By submitting this form, I hereby expressly consent to the Heard Museum’s collection, use, and disclosure of my child’s personal information for the limited purpose of the administration of this contest, including for communications regarding this contest as well as the notification and publication of winners; and
    • I have the right at any time to revoke this consent by notifying the Heard Museum, in which event the Heard Museum will delete my child’s personal information as soon as possible.

    Please review the Heard Museum Privacy Policy for more information on the Heard Museum’s privacy practices to comply with COPPA.

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