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Galabal 2019

Contact > Registration

If you are coming with a junior club dancers, please fill in both parts student and parent.

If you wish to register for the gala evening as a guest only, please register as parent/guest

Thank you very much indeed. We can also send you a registration form in word format. Please send an email to skylight.danceclub@skynet.be.

Junior Club Student

Name Student*

First Name Student*

Email Student*

Mobile phone Student

Member No Skylight

Parent 1

Title Parent 1

Mr.Mrs.

Name Parent 1*

First Name Parent 1*

Email Parent 1*

Mobile phone Parent 1

Parent 2

Title Parent 2

Mr.Mrs.

Name Parent 2

First Name Parent 2

Mobile phone parent 2

Email Parent 2

Other guest with name & first name

Comment

Table reservation groups of 10 guest only

Comment

Skylight Dance Club | Salle St. Anne | Chaussée de Tervueren 129 | 1160 Brussels (Auderghem)

e-mail: skylight.danceclub@skynet.be | gsm: 0496 50 90 83