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 2021-2022:

    Accomodation option:

    By submitting this form, I agree to pay 100€ in order to reserve my place (*Refundable 50% in case of cancelation before May 30th, 2022). The remaining 250 euros will be paid by bank transfer before 15th July 2022. 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.