Application Form for Bhaktivedanta College Kirtan Course 2018 (02 July - 12 August)
Event link page: http://bhaktivedantacollege.com/events/kirtan-course/

Should you have any additional questions, please contact us: Manu Magnin <manu@radhadesh.com>

Email address *
Kirtan Course 2018
Name: *
Your answer
Date of birth: *
MM
/
DD
/
YYYY
Gender: *
Required
Skype ID:
Your answer
WhatsApp:
Your answer
Address & telephone: *
Your answer
Marital status *
Required
Health information *
Yes
No
Do you currently have any physical health problems?  
Have you had any mental or emotional health problems?  
Do you currently have any mental or emotional health problems?  
Do you regularly take any medication? 
Criminal / Abuse screening *
Yes
No
Have you even been convicted of a criminal offence?
Have you ever been convicted on any domestic violence charges?
Were you a victim of abuse or molestation while a minor?
Have you ever been accused of abusing a child?
References: *
Name, Email, telephone and relationship to you. Please give the reference of person who knows you well, who can give us a good understanding of the kind of person you are. Family members are excluded.
Your answer
Self-evaluation *
Please evaluate your level of knowledge and expertise of:
Almost zero
Something
Pretty average
Very good
Expert
Karatals
Harmonium
Mridanga
Singing
What are your expectations for the Kirtan Course? *
Your answer
What challenges (if any) do you anticipate during the Kirtan Course? *
Your answer
In 150 to 200 words, describe both you strengths and shortcomings in relationship the Kirtan Course: *
Your answer
Food: *
Required
Please choose your accommodation type (41 days): *
Two additional days are included. Every extra day should be paid €20 more (food included).
Required
Tuition: *
Required
I will need transportation from airport/train station: *
In case of "YES" we will contact you two weeks before the event. Departure arrangements will be organized before end of the Kirtan Course.
Required
I want to buy a mridanga (€250): *
You can chose new mridanga (highest quality imported from Bengal) at the beginning of the course.
Required
Registration confirmation: *
Required
Deposit money will be send by: *
Required
Rest of the money will be given by: *
Required
A copy of your responses will be emailed to the address you provided.
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