EWIDANSE : ESPACE WISSOUS DANSE
NB : The mandatory fields are in red
Gender: Unspecified Man Woman
Name:
First name:
Nickname:
Birth date: (yyyy-mm-dd format)
Profession:
Address: Address (continuation)
Zip Code:
City:
Phone:
E-Mail:
Be visible in the members list: If you check this box (and if you are up to date with your contributions), your full name, website address ad other informations will be publically visible on the members list.If you've uploaded a photo, it will be displayed on the trombinoscope page.Note that administrators can disabled public pages, this setting will have no effect in that case.
Username: (at least 2 characters)
Password: Please repeat in the field the password shown in the image.
Other informations:
Nom et Prénom des parents élèves mineurs (not translated)
N° tel parents élèves mineurs (not translated)
E-mail parents élèves mineurs (not translated)
Nombre année(s) de danse de l'élève (not translated)
Moyens de communication consultés : (not translated)
- mail (not translated)
- sms (not translated)
- facebook (not translated)
- messenger (not translated)
- whatsapp (not translated)
- autres (not translated)
J'ai lu et j'accepte le règlt intérieur (not translated)
J'ai signé la convent° droit à l'image (not translated)
J'ai transmis le certificat médical (not translated)
J'ai lu les statuts associatifs (not translated)
Je souhaite une licence FFD à 19€ (not translated)