02 Dance Concept Anmeldeformular (PDF)
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Author: ZEY-NO
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ANMELDEFORMULAR
TEILNEHMERDATEN
Name:
Familienname:
Geb. Datum:
Alter:
Adresse:
Interne Vermerke
Plz/Ort:
TEAM:
Tel. Nummer:
Tel. Nr. gesetzl. Vertreter:
MEMBER ID:
E-Mail:
AUSBILDUNG
MIX DANCE (Hip Hop / Reggaeton / Bollywood / Zumba)
BELLY DANCE (Orientalischer Tanz/Bauchtanz)
1. Ausbildungsjahr:
2014/09
-
2015/06
2. Ausbildungsjahr:
2015/09
-
2016/06
ZAHLUNG
Monatlich
Euro
90,-
Tanzbekleidung
1 x Jährlich
Euro
50,-
Unterschrift (bei minderj. gesetzliche Vertreter)
Mit meiner Unterschrift erkenne ich die AGB - Allgemeinen Geschäftsbedingungen an
zsa-dance-concept@hotmail.com
www.facebook.com/zsa.dance.concept
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