Enrolment form for Salsa in Toscana 2012

Period: *

Salsa in Toscana 1: 7-14th of July

Salsa in Toscana 2: 16-26th of July

Salsa in Toscana 3: 26th of July-4th of August

Salsa in Toscana 4: 4-11th of August

Salsa in Toscana 5: 11-21st of August

Salsa in Toscana 6: 21-28th of August

Your name: *

Your telephone nr: *

Your email address: *

1. Your experience in salsa:

2. You consider yourself to be a:

beginner

beginner-intermediate

intermediate-advanced

Note: Question 1 and 2 will help us divide the participants into the three level groups.

3. What do you expect from the stage? Any specific requests?:

4a. Housing For Montepozzali:

Single room (supplement to pay

Which housing do you choose? Indicate a preference. You will be notified right away if one of your preferences is still free. Also see the 'news' item on the website.

4b. Housing For Gabellino/Prata:

Agriturismo Il Poggiolo (mostly double rooms) (swimming pool) (Gabellino)

Il Frutteto (with swimming pool) (Boccheggiano village)

Agriturismo Poggiolo di sotto (no swimming pool) (Gabellino)

Casale Prata

Casa Sica (Prata village

Which housing do you choose? Indicate a preference. You will be notified right away if one of your preferences is still free. Also see the 'news' item on the website. Indicate below if you'd like to have a single room for one of these formulas (there'll be a supplement to pay).

4c. Other specific remarks for housing:

Specific questions or remarks regarding housing options.

5a. Carpooling:

Do you come with a car and can you take some extra passengers (who will share the costs of course)?

5b. Carpooling:

Do you come without a car and do you have already a place in someone else's car or do you still need to find a place in a car?

6. Other specific requests?:

CAPTCHA

IMPORTANT: Please type the letter " L " five times in the textbox below and IGNORE the decoy image and question! This is to make sure you are in fact a real person and not a spambot.