Registration Beginner Course Ballroom Dancing

By filling out this form you register for the Beginner Course Ballroom Dancing at Dance School Kluver.

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 *

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—Monday 19:00 - 20:00hTuesday 21:30 - 22:30h (couples)Saturday 20:00 - 21:00h

Are you registering individually or with a partner? *
IndividuallyWith partner

Information Dance Partner

If you are registering with a partner, please fill out the below fields.

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

Address dance partner


Same as my address

Payment

• Before the start you pay a first part of the course fee (deposit) of €35. 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 10 monthly instalments of €36 (€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 10 instalments of €34).

• 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 once10 instalments of €36

Please let us know if you are a student
I am a student (€20 discount)

IBAN bank account number *

Name bank account holder *

Payment Partner

In case you are registering with a partner, please describe below how your partner wants to pay
In case you are paying the course fee of your partner, you can indicate so and leave the bank account empty.

Please choose the payment method for the course fee of your partner *
€340 at once10 instalments of €36I am not registering a partner

Please let us know if your partner is a student
My partner is a student (€20 discount)

IBAN bank account number artner

Name bank account holder partner

Same as my bank account

Registration Terms

• By submitting this form you are registering for the Beginner Course ballroom dancing at Dance School Kluver.

• If you are registering with a partner, the payment requirement applies to them as well.

• Your registration is only complete after receiving a confirmation from us and completing the first payment.

• You will receive a confirmation in usually 2-3 business days.

I have read the above information and agree to the deposit of €35 when my registration is confirmed.

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.

(only applies when registering with a 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.