Last Name *

Frist Name *

Birth Date *

Birth Place *

Codice Fiscale (for Italian participants) / Nation (for others participants) *

Residence Address (street, postal code, city) *

Participant Identity Document Type *Participant Identity Document Type*ID CardPassportDriver’s License

Participant Identity Document Number *

Participant Phone Number *

E-Mail *

Workshop *Workshop*1 session from December 28 to 31 - 20251 session from January 2 to 5 - 20262 sessions from December 28 - 2025 to January 5 - 2026

Emergency Contact + relation

Emergency Contact phone number

Dance School (and city) *

Any Notes

I have read and accept the FINI DANCE REGULATION *

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1 + 1 = ?Please prove that you are human by solving the equation *