17 Annual Ameropa 2010

~ Application form ~

  
Total price:   €
AMEROPA Participant type
1. Active program  *
     I participated in Ameropa in years (needed to be filled if you apply for repeated discount)
2. Passive program
3. I would like to participate in "Green Program"
4. AMEROPA Solo Masterclasses
5. Application fee requested from each participant
NOTE: Participants requesting Ameropa Intensive Program will be chosen by Ameropa faculty board. Recording of 2 contrast movements is requested till April 15, 2010.
We will inform you about the AIP program and the scholarship competiton results in due time.
Special bonus - Christmas discount 10% is valid for applications sent till January 31st, 2010.
Last Minute program will be decided in May and for needed instruments only.
Personal information
6. First name, middle name  
7. Last name  
8. Gender (Male-M, Female-F)  
9. Date of birth (if you don't mind...)  
10. Nationality  
     Please state your nationality (-ies), if not listed above or if multiple applies  
11. Address - Street  
     City / Zip Code  
12. Country  
     Please state your country, if not listed above or if multiple applies  
13. Primary e-mail *
     Other emails (if you use more, please type all possibilities)  
14. Mobile phone, if we need to contact you  
15. Your personal web page, if you have it  
16. Health or mobility conditions that we need to know about  
17. Are you vegetarian or do you have any dietary needs?