Amphibious 2019 Registration
Event Timing: November 20-24, 2019
Event Address: Chalananda Av. Vicente Ruiz Sahagun 75, 45730 Villa Corona
Contact us at: amphibiousdance@gmail.com
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Email *
Name / Nombre *
Preferred pronouns / Pronombres preferidos
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Preferred Language(s) / Idioma(s) preferidos *
Do you understand Spanish? / ¿Entiendes el español?
Not at all!
Entiendo bien!
Clear selection
Do you understand English? / Entiendes inglés?
Nada
I understand well!
Clear selection
Accommodations  / Alojamiento *
Required
Dietary restrictions / Restricciones dietarias *
What is your movement background? / ¿Cuál es tu historial con movimiento? *
Why do you want to attend Amphibious? / ¿Por qué quieres asistir a Anfibious? *
How did you hear about us? / ¿Cómo te interesaste en nosotros? *
Is there anything else we should know about you? / ¿Hay algo más que deberíamos saber sobre usted?
If you have a discount associated with another event, please write the name of it here: / Si tiene un descuento asociado con otro evento, escriba el nombre aquí:
A copy of your responses will be emailed to the address you provided.
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