French intensive course at Waaw, Saint-Louis, Senegal 3-15 January 2016

Please copy the form below and paste it into your email message. Fill out and return to

info (at)waawsenegal.org. Merci d'avance !

APPLICATION FORM

Name:

Year of birth:

Address:

Telephone:

E-mail:

Education or profession:

Present occupation:

Knowledge of French, previous studies or courses:

Why do you want to participate in this course in particular?

Any chronic diseases, severe allergies etc.:

Anything else that is relevant to your participation?

I would like to participate in the following short courses

____ sabar drum

____ sabar dance

____ glass painting

____ textile dyeing

Accommodation options; transport

____ course + accommodation at Hotel Siki

____ course + accommodation at Ô Sésame

____ course + accommodation at Waaw

____ course only

____ double room, sharing with ____________________________________

____ single room

____ course without accommodation

____ Dakar transfer package

.