ADT SUMMER PROGRAM 2020 APPLICATION FORM

JavaScript is nie in jou blaaier geaktiveer nie, so hierdie lêer kan nie oopgemaak word nie. Aktiveer en herlaai.

WHEN: JULY 14th-17th 2020
WHERE: ASD Auditorium Ballet - Via Sommacampagna 46 - 37069 Villafranca di Verona (VR) - Italy

Meld by Google aan om jou vordering te stoor. Kom meer te wete

Name and Last Name *

Date of Birth *

JJJJ

Place of Birth *

Address *

Zip Code *

City *

Country *

Email *

Mobile *

including international code (ex: +39 per l'Italia, +49 per la Germania... etc...)

What do you want to attend? *

workshop (July 14th-17ht 2020)

audition (July 18th 2020 h. 10.00)

workshop and audition (July 14th-18th 2020)

Vereis

I confirm I'm due to pay 320€ by bank transfer within 48 hours to the following bank datas: ASS.SPORT.DIL. AUDITORIUM BALLET IT89X0200859670000100614665 BIC/SWIFT: UNCRITM1P01 *

Reason of payment: "Name and Last Name" APPLICATION ADT SUMMER PROGRAM 2020

Yes

Yes, with a scholarship of €50 (due amount 270€)

Yes, with a scholarship of 100€ (due amount 220€)

Vereis

I confirm I know that the cost won't be refounded in any case but certificated medical reasons *

Yes

Vereis

Insert here your cv/biography *

Insert here you video link (vimeo or youtube) *

Dien in

Maak vorm skoon

Moet nooit wagwoorde deur Google Vorms indien nie.

Hierdie inhoud is nie deur Google geskep of onderskryf nie. Rapporteer misbruik - Diensbepalings - Privaatheidsbeleid

Vorms