Registration Form - BDWS 2023
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Transportation
I need a ride
I can give a ride
None
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Dance Styles
Chicago
New Orleans
Soul/RnB
Fusion
Micro Blues
Latin touch
Preferred Role
Leader
Follow
Both
Level
Beginner (less than a year)
Intermediate (1-3 years)
Advanced (3-6 years)
Expert (more than 6 years)
Select your Package
Full Pass with accommodation (600 NIS)
Full Pass without accommodation (300 NIS)
Single Party (100 NIS)
*Please be aware that food is
NOT
provided by the event.
You are required to bring your own food.
Which party will you attend?
Thursday Party
Friday Pool Party
Friday Evening Party
Preferred Payment Method
Please Select
PayBox
BIT
Cash
Volunteering
I want to volunteer!
No, just here for the dancing
Additional Comments / Requests (food, payment, sleeping...)
Submit
Should be Empty: