REGISTRATION FORM

You are currently registering for the option to pay the full amount of €320.

If you wish to make a €100 down payment and pay the remaining balance later, please continue here.

You will be reminded one month before the workshop to pay the remaining balance.

Participant's name

First Name

Last Name

Email

How did you hear about us?

Phone

Country

(###)

###

####

Birthdate

MM

DD

YYYY

Nationality

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Short description of current dance training

IMPORTANT!

You are currently registering for the option to pay the full amount of €320.