Personal Data Form – Bailamor Dance School

Name/Surname *

Phone *

Date of Birth *

Day

Month

Year

Street Address *

City

ZIP / Postal Code

Email Address *

Identity No / Passport No *

Weight (kg)

Height(cm)

Please fill the details below to make the training program according to your needs. (*we are not responsible for any incorrect information given to us.). Mark with √ if you are having any of the following medical problems:Heart ProblemsBackachePain to the chestThyroidOrthopaedic ProblemsAre you on diet?Hight blood pressureHigh cholesterol

Are you under a medication? *

Please provide us with details: *

Have you had a surgery in the last 6 months? *

Please provide us with details: *

Do you need to avoid some kind of exercise? *

Please provide us with details: *

Diabetes? *

Please provide us with details what type of diabete you have:

Are you a smoker? *

Are you exercising right now? *

How many times per week? *

What are you dance goals? *Improve dancing abilitiesHobby

How did you hear about the Bailamor Dance School Limassol? Please mark with √ one of the following options: *By chanceFacebookInstagramSchool’s websiteAdvertisementReferred by a friend or family memberOnline Search (Google, Bing, etc.)

I give my approval and consent that Bailamor Dance School Limassol can provide me with any form of information and / or advertising material. Please select Yes if you agree and No if you do not agree.

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New Season
2022/23

New Season2022/23

New Season
2022/23