Dance   Connection 
   International Centre for Modern Dance
Web Design : Emmy Mees


 


Registration form

First name :
Last name:
Date of birth:
Street + number :
Zip code + city :
Country :
Nationality :
Telephone number :
Mobile :
E-mail address :
Registers for:
When registering please pay the right amount into the account 000-0281896-14 of Nadine Kochuyt,
IBAN BE94 0000 2818 9614, BIC BPOTBEB1 :

1 Limbering = 96,00 € for 8 classes
2 Limbering = 186,00 € for 16 classes
Single class = 13,00 €

1 Graham based = 104,00 € for 8 classes
2 Graham based = 202,00 € for 16 classes
Single class = 15,00€



Discipline : Graham based (advanced-intermediate) on Tuesdays
  Graham based (intermediate-beginners) on Thursdays
   
Limbering on Tuesdays
Limbering on Thursdays
   
Additional info :
 

Your subscription is only valid after receiving your payment in the account
000-0281896-14 of Nadine Kochuyt, IBAN BE94 0000 2818 9614, BIC BPOTBEB1.
Please bring proof of payment. Thank you.