02 Dance Concept Anmeldeformular .pdf

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Original filename: 02-Dance Concept - Anmeldeformular.pdf
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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