Dance Choreographer Registry Submission Portal Dance Choreographer Registry Step 1 of 2 50% CommentsThis field is for validation purposes and should be left unchanged.Dance Choreographer Registry SubmissionPlease fill in the following information to support your entry on the UBCP/ACTRA Dance Choreographer Registry:Your Name(Required) First Last UBCP/ACTRA ID:(Required)Agent:Agency:Agent Phone:Agent Email: More InformationOccupational First Aid: Yes No Date: MM slash DD slash YYYY File:Please submit screenshot of your OFA certificate.Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Motion Picture Safety Awareness Course: Yes No Date: MM slash DD slash YYYY File:Please submit a screenshot of your MPSA certificate.Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Motion Picture Safety for Supervisors Course: Yes No Date MM slash DD slash YYYY File:Please submit a screenshot of your MPSS certificate.Accepted file types: jpg, png, pdf, Max. file size: 5 MB. IMDB link: Web link: Resume link: Consent:(Required)By submitting this form, I hereby consent to the publication of the above information on the UBCP/ACTRA Dance Choreographer Registry. I consent.Date(Required) MM slash DD slash YYYY Δ