Formulier

Event *

First Name *

Last Name *

Uitgenodigd door

Geslacht *

Male

Female

Geboortedatum *

Geboorteplaats *

Nationaliteit *

Land van paspoort of identiteitskaart *

Moedertaal *

Preferred communication language *

Grootte (cm) *

Email *

Mobiele telefoon *

Straat en nummer *

Postcode *

Stad *

Land *

Naam van ouder/voogd *

Email van ouder/voogd *

Phone of Parent/Guardian *

Number of year(s) of Dance Experience *

Dansscholen bezocht *

Foto gezicht *

Volledige foto *

Kamers en Eten

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.

Gewenste formule *

Aankomstdatum *

Vertrekdatum *

Towels 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 towels

Andere

Niveau Frans *

Beginner

Elementair

Intermediair

Geavanceerd of beter

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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