Application Form

Event *

School year *

First name *

Last Name *

Gender *

Male

Female

Birth Date *

Birth Place *

Nationality *

ID/Passport Country *

Native language *

Preferred communication language *

Size (cm) *

Email *

Phone *

Street and Number *

Postal Code *

City *

Country *

Name of Parent/Guardian

Email of Parent/Guardian

Phone of Parent/Guardian

Current company

Current professional education program*

Video link*

Number of year(s) of Classical Dance Courses

Number of year(s) of Contemporary Dance Courses

Profile Photo in 1st Arabesque (flat foot)

Attended Dance Schools

Shows/Competitions Appearences

Face Photo *

Desired Duration (in weeks) *

French level *

Beginner

Elementary

Intermediate

Advanced or better

Remarks/Additional Info

Please certify here that you have read and accepted the rules of procedure of the intensive course *

Job

Department

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