REGISTRATION
FORM
Tango
and Folk Dances Workshops with
Oscar Benavidez
& Laura Francia Dublin, 5-6 September
2009
Personal Details
Name:................................. Phone 1:
.......................
Surname:............................. Phone 2:...........................................
Leader/Follower:
Email:............................................
Country:............................................
Level:
-
Level (Beginners/Intermediate/Advanced):
.....
-
Dancing experience (months/years):
Partner for tango class/es:
-Name
of Partner
-Please
find partner for me □
Classes/Packages chosen (please indicate):
□1 tango
class ->
please choose: a, b, c, d
□
Folklore day
□
Package A -> please choose 2 tango classes: a, b, c, d
□
Package B-> please choose 3 tango classes: a, b, c, d
□
Package C
a) Cash payment
b) Payment made to our bank account (please email
us at tangofever_ireland@yahoo.com to get bank details -IBAN and SWIFT code)
Total amount paid:
*********** Please enclose proof of payment ************
Signed Date