Dear Mudancer,

Please complete and send back the application form. You will then receive your personal password which enables you to enter the Intranet. There you’ll find more details and the documents needed to complete your MUDANCE final registration.

I'm interested in 17-30 July 2011:

1. Week 2. Week    
   
First Name*:
Name*:
Parents First Names*:
Parent's Profession*:
Address*:
Code,City*:
Country*:
Date of Birth*:
Phone*:
Fax:
Email*:
Dance Lessons per Week*:
School*:
Teacher*:
   
   
Galimudance | Hoffmann-Gladkova Galina | Holeestrasse 105 | CH-4054 Basel Email:info@galimudance.com | Tel +41 (0)61 281 08 48 | Fax +41 (0)61 281 08 49