Please note that any person needs to fill in this form. If you have a partner, both members of the couple should complete the form.

¿Tienes Pareja? / Do you have a partner?

Luck of the Draw:





Strictly (Both partners need to purchase):


Resumen / Summary

Info

Paquete / Pack:

Nombre / First name:

Apellidos / Last name:

Email:

Rol / Dance Role:

Pais / Country:

Tel / Phone:

Alumno Black Bottom / Black Bottom Student:

Comentario / Comments:


Total:

Couple Information

Nombre / First name:

Email:

Contests
Extras
Confirmar! / Confirm!