Fukki Lak, Benn Xol ~ 10 Languages, One Heart
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Step 2:
Complete registration form below.
E-mail Address:
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Full Name (as it appears on your passport)
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Mobile Number
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Passport Number
Address 1
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Address 2
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Profession
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Choose one: Dance or Music
*
Dance
Drumming
Other Musical Instrument (specify in notes)
Chaperone (food & lodging only)
Are you a parent of a participant?
YES
NO
Emergency Contact Name
*
Emergency Contact Number
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How did you hear about our workshop?
Do you have any physical or psychological conditions which may impact your stay? If so, please explain so we'll know how to take care of you!
*
Any food allergies? If so, please list them!
*
LIST any dietary restrictions (e.g., vegetarian, vegan, etc.)
Level of Dance Training
*
Beginner
Intermediate
Advanced
Professional
Not Applicable
Level of Musical Training (if applies to your program)
Beginner
Intermediate
Advanced
Professional
Does Not Apply
Comments? Notes?
Please type your name to acknowledge that workshop fees are non-refundable. However, special circumstances will be considered at the discretion of omi davis co. In the event that the workshop is cancelled, all fees will be refunded.
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Verification Code:
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