Welcome to The Spanish Dance Society....

Spanish Dance Society

NAME:	.................
ADDRESS:	................. ................. ................. .................
TEL NO:	.................
FAX NO:	.................
EMAIL:	.................
DATE OF BIRTH:	........................................
DATE OF IdB (II) EXAMINATION:	........................................
APPLICANT'S SIGNATURE:	........................................
CURRENT TEACHER'S NAME:(if applicable)	........................................
CURRENT TEACHER'S SIGNATURE:(if applicable)	........................................
DATE:	........................................