Application Form

Event *

First Name *

Last Name *

Gender *

Male

Female

Birth Date *

Birth Place *

Nationality *

ID/Passport Country *

Native language *

Preferred communication language *

French level *

Beginner

Elementary

Intermediate

Advanced or better

Size (cm) *

Email *

Phone *

Street and Number *

Postal Code *

City *

Country *

Name of Parent/Guardian *

Email of Parent/Guardian *

Phone of Parent/Guardian *

Number of year(s) of Dance Experience *

Identity Photo *

Full Length Photo *

Hosting

Do you have any dietary requirements or special diet? *

Yes

Special diet details

Based on the information below, a boarding offer will be sent to you by email.

Desired Hosting Formula *

Wished check-in date

Wished check-out date

Sheets, duvet and pillows are not included in the room rental. It is possible to rent these items separately, at a fixed price for the duration of your stay.

Please refer to the course information for conditions and tick the box(es) below if you wish to include them in your request.

Renting of duvet and pillow

Renting of sheets

Renting of towels

Other

French level *

Beginner

Elementary

Intermediate

Advanced or better

Remarks/Additional Info

Please certify here that you have read and accepted the rules of procedure of the intensive course *

Job

Department

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