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Inschrijvingen / Entry form

: 02/12/2017 -> 02/12/2017
De Smet-Camby
Dansschool De Smet-Camby
Mechelsesteenweg 732
3020 Herent
+ Prof

Uiterste inschrijving datum / Closing date :18/11/2017

danser code :
  

Wedstrijd gegevens / Competition data
code:*
data:*
Deelnemer (detail) / Competitor (detail)
danser key:*
Deelnemer naam /competitor name:*
club/school of land:*
Geef de categorie op waarvoor u wil inschrijven / Tick event (class) you wish to enter
Categorie / Classes:* Bachata Couples -> ()
Merengue Couples -> ()
Latin Couples Professionals -> ()
Latin Couples -30 Start to Dance -> ()
Latin Couples -30 MasterClass -> ()
Latin Couples -30 Pre-Amateur -> ()
Latin Couples -30 Amateur -> ()
Latin Couples +30 Start to Dance -> ()
Latin Couples +30 MasterClass -> ()
Latin Couples +30 Pre-Amateur -> ()
Latin Couples +30 Amateur -> ()
Latin Couples +40 MasterClass -> ()
Latin Couples -14 -> ()
Latin Couples -16 -> ()
Ballroom Couples Professionals -> ()
Ballroom Couples +60 MasterClass -> ()
Ballroom Couples -30 Start to Dance -> ()
Ballroom Couples -30 MasterClass -> ()
Ballroom Couples -30 Pre-Amateur -> ()
Ballroom Couples -30 Amateur -> ()
Ballroom Couples +30 Start to Dance -> ()
Ballroom Couples +30 MasterClass -> ()
Ballroom Couples +30 Pre-Amateur -> ()
Ballroom Couples +30 Amateur -> ()
Ballroom Couples +40 MasterClass -> ()
Ballroom Couples +50 MasterClass -> ()
Ballroom Couples -14 -> ()
Ballroom Couples -16 -> ()
Salsa Couples Professionals -> ()
Salsa Couples Rising Star -> ()
AGT Couples Professionals -> ()
AGT Couples Rising Star -> ()
Swing Couples Rising Star -> ()
Latin ShowDance Couples Professionals -> ()
Uw persoonlijke gegevens / Your personal data
Familienaam / Last Name:*
Voornaam / First Name:*
Geboortedatum / Date of birth:* (dd/mm/jjjj)
Contact gegevens / Contact data
Adres / Address:*
Postcode / Zipcode:
Gemeente / City:
Land / Country:*
E-mail:*
Partner gegevens / Partner data
Familienaam /Last Name:*
Voornaam / First Name:*
Geboortedatum / Date of birth:* (dd/mm/jjjj)
extra opmerkingen / Extra comments
data:
Bevestigings code / Code confirmation:
 

    secretariaat

    Dhr. Eddy Arbyn,

    Mandenmakerstraat 10, 9100 Sint Niklaas.

    Tel. +32 3 778 00 91

    Email: eddy.arbyn@gmail.com

    Contact