I,.............................................................................................................,
passaport number............................................................... and for I register in cadastre it of the Project .....................................................................................................................,
I declare for the due ends that to be aware and in accordance with the general conditions of participation of the MOSTRA INTERNATIONAL OF STREET THEATER - SHAKESPEARE IN THE STREETS - Edition 2007, as described in the site of the event (www.butoh.com.br)..

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City and date

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Signature

(print in oficial paper group/co)