Please find the registration form of the kibbutz contemporary dance company's activities.
Please choose the desired path and fill up the details. Good luck
MASA Dance Journey program
MASA Dance Lab program
Auditions
Mexico, Mexico City, Monday October 18th 2010
Mexico, Srontino Festival, Sunday October 21st, at 12 non
Amsterdam, Netherlands, Sunday November 7th 2010, at 11:00 - 15:00
France, Paris, Sunday December 12 2010, at 11:00 - 15:00
UK, London, Sunday December 19th 2010, at 12:00 – 16:00
Personal details
Surname:
Name:
Gender:
Female
Male
Cell / Mobile Phone:
Home Phone:
Date of Birth:
(dd/MM/yyyy)
Contact person name:(Mother, Father, Sister, Friend)
(In case of emergency)
Contact Person's Phone:
Health Insurance:
Yes
No
Passport number:
Nationality:
Address
Street:
House number:
City:
State:
Zip Code:
Country:
E-Mail Address:
Dancing experience
Presently training at:
Past Experience:
2-3 years
3-5 years
more than 5 years
professional dancer
Any disability?:
(If yes, please specify here)
General
Size of your T-shirt:
S
M
L
XL
Vegetarian:
No
Yes
Where did you hear about the Workshops/program?:
Friends
The teacher in the dance studio
Facebook
Internet
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Other
MASA Dance Journey program
Dates you would like to participate:
September 2010 program: 5.9.2010–30.1.2011
February 2011 program: 4.2.2011-30.6.2011
Where did you hear about MASA Dance Journey program?
Friends
The teacher in the dance studio
Facebook
Internet
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Other
Additional instructions will be sent to you, enabling to continue the registration.
Created by: Aurion