July 14 - Aug. 11, 2013
*All fields are required!
!!! PLEASE USE ONLY ENGLISH CHARACTERS !!!!
First Name / Last Name:
State (US & CA):
Date of Birth:
Contact Person Name:
(Mother, Father, Sister, Friend):
(In case of an emergency)
Contact Person's Phone:
How many weeks?
Please select2 weeks3 weeks4 weeks5 weeks6 weeks
Dates you would like to participate:
My Dancing Experience
Please Select2-3 years3 - 5 yearsmore than 5 yearsprofessional dancer
Presently Training At:
Any disability? (If yes, please specify here)
Where did you hear about SIBA workshops?
(please choose from the list, or write in the Remarks section.
I am a returning SIBA studentFrom EDAS websiteReceived an e-mailFrom FacebookFrom my dance teacherI Searched the InternetFrom one of the workshop teachersFrom a friendOther
ROOMS & MEALS:
Accommodation at dormitory
and full meals plan:
Additional information or remarks: (also if you come with a chaperon, write here please)
*By submitting this form I agree to pay the registration/Processing fee of €300 (*Refundable 50% if cancelled before May 31, 2013) upon registration, in order to secure my place. The balance to be paid on arrival in Salzburg.
* Online payments by credit card will be charged 3.5%.
* By submitting this form I agree to all terms and conditions specified in the prices page:
I will pay the deposit by: Credit Card Bank transfer
*You will receive an email confirmation with instructions how to pay.
Enter the letters from the image below in order to submit:
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