Registration form

First name:

Last name:

Address:

City:

State:

Zip code:

Country:

e-mail:

Mobile phone:

Gender:
MaleFemale

Date of birth: (dd/mm/yyyy)

Contact person name (in case of an emergency):

Contact person's phone (in case of an emergency):

Do you have a medical insurance for Europe?
YesNo

Studies of contemporary dance that you are presently studying in 2022-2023:

Accomodation option:
---I do not need accommodationIndividual Apartment (768€) Full meals plan not included.Double Apartment (408€) Full meals plan not included.Triple Apartment (372€) Full meals plan not included.Quadruple Apartment (309€) Full meals plan not included.Quintuple Apartment (264€) Full meals plan not included.

By submitting this form, I agree to pay 100€ in order to reserve my place (*Refundable 50% in case of cancelation before May 30th, 2023). The remaining 250 euros will be paid by bank transfer before 15th July 2023. By submitting this form I agree to all terms and conditions specified in the prices page.

You will receive an email confirmation with payment instructions.