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STUDENT

Prenume / First name *
Nume familie / Last name *

Parinte / Guardian

Prenume / First name
Nume familie / Last name *
Nr. Telefon / Phone Number *
Ex: 07XXXXXXXX
Email *
Ex: user@domain.ext
Data Nasterii / Date of Birth *
Clase COPII / KIDS classes
Clase ADULTI / ADULTS classes
Sunt si alti membri ai familiei inscrisi? / Are there any other members of your family already enrolled?*
     
CONTACT
0732 149 113
contact@vertigodance.com
@vertigodanceschool