Anmeldeformular für fortlaufende Kizomba Kurse

Salutation

First name

Last name

Street, house number

PLZ

Location

Phone

Date of birth (optional)

Couple registration or individual registration

Kizomba Role Reversal Level:

pay

Freitext

For couple registrations, please provide the full details of the dance partner.

Dance partner: First and last name

Dance partner: Address

Dance partner: Phone number

Dance partner: Email

Your message to us (optional):

How did you become aware of us?

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