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
 
Personal details
Surname: Name: Gender:
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: Passport number: Nationality:
Address
Street: House number: City:
State: Zip Code: Country:
E-Mail Address:
Dancing experience
Presently training at:
Past Experience:
Any disability?:
(If yes, please specify here)
General
Size of your T-shirt:
Vegetarian:
Where did you hear about the Workshops/program?:
MASA Dance Journey program
Dates you would like to participate:
Where did you hear about MASA Dance Journey program?
Additional instructions will be sent to you, enabling to continue the registration.
Created by: Aurion