Host Application

"Quality Enrichment Programs for the Cruise Industry"
Phone: 305-931-1026 - Fax: 305-931-1132 - Email: Zammel@aol.com

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Dance Host Application Form

Please provide the following information:

Name (as it appears on passport)

Passport #/Expiration Date/Date of Birth

Street Address

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

Cell Phone

FAX

E-mail

Website Address

Languages Spoken

Select any of the following specialty areas:

Foxtrot      Swing      Mambo      Other    
Merengue     Polka      Hustle
Waltz        Freestyle  Electric Slide
Cha-Cha      Tango      Country Western
Rumba        Samba

Summarize your dance training:

Please provide emergency contact name, phone number, & relationship:

Please provide a short biography on why you are qualified to host:

In a separate email, please attach a recent photo, a character reference and a letter of evaluation of dance ability.

Dance Host Application Form

Please provide the following information:

Revised: 05/29/10