Name and Surname (required)

Mobile phone (required)

Telephone (required)

Your email (required)

Date of birth (required)

Address (required)

Street Number (required)

City (required)

Province (required)

Shoe size (required)

Height (required)

Size (required)

Weight (required)

Job (required)

If you are a student, indicate the type of school (required)

Have you ever attended dance lessons? (required)

Mother’s name and surname (required)

Mother’s job (required)

Father’s name and surname (required)

Father’s job (required)

Please attach a picture (max 1Mb jpg, gif, png) (required)

Please attach a confidential letter where you tell something about your life, your hobbies and why you want to take part in the Grand Viennese Ball (word, pdf).(required)

How did you get to know this Event? (required)

I authorize the use of my personal data and pictures in compliance with Legislative Decree 196/03.(required)

I agree