Registration Advanced Course Ballroom Dancing By filling out this form you register for one of the advanced courses Ballroom Dancing at Dance School Kluver. For the first year (beginners), you can register here. Wondering what level fits you best? Please visit one our practice evenings on Saturday evening from 21:00h, so we can get to know each other and advise you on the best suited level. Your Information Your first name + last name * Your e-mail * Your phone number * Your age category * Children younger than 14 years old can join Kids Dancing. From 55 years and older we kindly ask you to bring a dance partner. —Please choose an option—<13 years14-21 years22-54 years55+ years Your address * Please let us know if you are a student I am a student (€20 discount) Group Please pick a class * You can also register with a partner on a non-couples class. We will switch partners more often in this class. —Please choose an option—2nd year - Monday 19:00 - 20:002nd year - Tuesday 21:30 - 22:30 (with partner)2nd year - Saturday 19:00 - 20:003rd year - Tuesday 20:15 - 21:15 (with partner)3rd year - Wednesday 19:00 - 20:004th year - Wednesday 20:15 - 21:15 (with partner)4th year - Friday 19:00 - 20:005th year - Monday 21:30 - 22:30 (with partner)5th year - Tuesday 19:00 - 20:00 (with partner)6th year - Wednesday 21:30 - 22:30 (with partner)6th year - Friday 20:15 - 21:15 (with partner) Are you registering individually or with a partner? * IndividuallyWith partner First + last name partner Will you pay for your dance partner? * Your partner can register themselves. You can also register your partner now, in which case you also pay for your dance partner. No, my partner will register themselvesYes, I want to register my partner too Information Dance Partner I confirm that I am allowed to fill out the above details in name of my dance partner and that my dance partner is aware of the same payment terms. First name + last name dance partner E-mail dance partner Phone number dance partner Age category dance partner —Please choose an option—<13 jaar14-21 jaar22-54 jaar55+ jaar Please let us know if your partner is a student My partner is a student (€20 discount) Address dance partner Same as my address Payment Before the start you pay a first part of the course fee (deposit) of €60. This allows you to try the classes for one month. You can deregister in this period without further obligations. If you want to continue after the first month, you pay the remaining course fee of €340. You can pay this amount at once in full, or in 9 monthly instalments of €40 (€360 total). Students (higher education or secondary/primary education) who can demonstrate their student status receive a €20 discount on the remaining course fee (€320 or 8 instalments of €40 and 1 of €20). The deposit can be paid before the start of the class via pin or cash at the dance school. The remaining instalments will be debited from your bank account via direct debit. You will receive more information how to do so later. Please choose the payment method for the course fee * €340 at once9 instalments of €40 IBAN bank account number * Name bank account holder * I have read the above information and agree to the deposit of €60. I agree to the payment method selected above for the course fee, and authorise Dansschool Kluver to deduct the course fee from my account if so selected. In case I do not want the course fee to be deducted, I will deregister within 1 month of the start of the course.