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Language Course Application Form

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SUMMARY

 

 

 

SECTION 1. PERSONAL DETAILS

 

INSTRUCTIONS

 
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Fill in the application form on-line and enclose the evaluation from your present dance teacher and any other particular requests or objectives. This documentation can be sent either by e-mail , post, or fax. Please answer all questions. All fields marked with a * are required and must be completed. Applications must be received at least 4 weeks prior to the start of the course to guarantee the best seats for the performances and placement in the dance school chosen.

 

Once your application has been received you will be give a reference N that you will need to quote on all correspondence, e-mails or when contacting us by telephone.

 

 

We offer on-line secure credit card

payment. We also accept  cheques and bank transfers.

First Name*

Last Name*

Age:*

Passport N *

Home Tel N (country code first)

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Work Tel N (country code first)

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Mobile Tel N (country code first)

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Fax N (country code first)

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E-mail

Address Line 1*

Address Line2

City*

County/State*

Zip/Postal Code*

Country*

Next of kin (if different from above) Address Line 1:

Next of kin Address Line 2:

Next of kin City:

Next of kin County/State:

Next of kin Zip/Postal Code:

Next of kin Country:

Next of kin home Tel N (country code first)

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Next of Kin work Tel N (country code first)

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Starting date:*

Choice of dance school:*

I have studied the following dance styles:* (please state dates and weekly frequency of classes attended)

I have decided to register for this course because:*

How did you find our website?*  Please quote Ref N if applicable:

Contact address in New York:*

Contact telephone number in New York:*

 

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Spain

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USA

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