Amsterdam Intensive Registration
November 11 - 15, 2019
1:30 pm - 5:30 pm

Chasse Dance Studios
Chasséstraat 64
1057 JJ Amsterdam, Netherlands

Deposit: 125 EUR
Total Tuition: 450 EUR BEFORE November 1, 2019
495 EUR AFTER November 1, 2019 (space permitting)

**PLEASE NOTE: No refunds will be given under any circumstances unless the Intensive is cancelled
Email address *
Name *
Your answer
Email *
Your answer
Home Address *
Your answer
Age *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone / Email *
Your answer
*Payment required for registration
Please use the PayPal button on the website to submit your deposit. Registration is not complete without payment in advance.

Paypal Transaction ID *
Your answer
How did you hear about this Intensive?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy