ADULT'S DATA
Relationship *
mom
dad
other
Specify if 'Other'
First name of the adult *
Last name of the adult *
Phone of the adult *
Email of the adult *
Street *
Postcode *
City *
Desired language of communication
FR
EN
STUDENT'S DATA
Student's gender *
girl
boy
Student's first name *
Student's last name *
Student's birthday *
No. of registrants in the same family
1
2
3
4
5
Subscription type *
ANN 1 cours/semaine 90 min
ANNUEL 1 cours/semaine
ANNUEL 2 cours/semaine
ANNUEL 3 cours/semaine
ANNUEL 4 cours/semaine
ANNUEL 5 cours/semaine
SEM 1cours/semaine 90 min
SEMESTRIEL 1 cours/semaine
SEMESTRIEL 2 cours/semaine
SEMESTRIEL 3 cours/semaine
SEMESTRIEL 4 cours/semaine
SEMESTRIEL 5 cours/semaine
STAGE 4 jours
STAGE 5 jours
Monday classes
Classique Adulte début/Lundi/13h
Zumba 1 enfant ± 8 à 11 ans/Lundi/16h30
Zumba 2 ados ± 11 à 14 ans/Lundi/17h30
Tuesday classes
Classique Adulte début/Mardi/18h30
Classique Adulte interm/Mardi/13h00
Wednesday classes
Contemporain Adulte niv avancé/Mercredi/20h30
Thursday classes
Classique Adulte début/Jeudi/19h30
Friday classes
Classique Adulte début/Vendredi/19h30
Contemporain Adulte niv Open level/Vendredi/20h30
Saturday classes
YES
Comments
RGPD *
YES
Privacy mentions : by submitting this form‚ I accept that the information entered will be processed for registration and communication purposes between Studio Dans'Harmonie (managers & teachers) and me.
(
More info (in French) in the Website of Studio Dans'Harmonie
)
I accept the General rules *
Copy the numbers *
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