Personal Information

First Name *

Last Name *

Email *

Mobile Tel *

Home Tel *


Date of Birth *

Emergency Contact Name *

Emergency Contact Tel *

Health Insurance

Passport No. *

Nationality *


Street Address *

House No. *

City *

State *

Zip Code*

Country *


What dance companies, if any, have you danced in? *

What Univercity, Dance Academy or Studio did you study most recently? *

Personal Daily Schedule Preference (To better help us with rooming assignments)


T-shirt Size

Vegetarian or Vegan?

How did you hear about Dance Journey?

Semester Desired

Facebook Information

Facebook Profile URL (To be added to your Dance Journey Group)*