Give Back Workshop Registration
Ini adalah formulir pendaftaran untuk mengikuti workshop tari kontemporer pada tanggal 9 Maret 2019 I This is the registration form for joining the dance workshop on 9 March 2019
About the workshop
Date: 9 March 2019
Time : 17.00 - 20.00

Where: EKI Dance Company Studio 1
Jl. Padang No.30-32, RT.5/RW.8, Ps. Manggis, Kecamatan Setiabudi, Kota Jakarta Selatan, Daerah Khusus Ibukota Jakarta 12850, Indonesia

About the class:
15 y.o - above
Multi-level Class
This class will be consist of warming ups, basic technique class, improvisation & choreography class

Workshop Donation Fee : IDR 100.000

About the workshop teachers:

Razan Mohamad
Razan started his interest in dance since he was 10 years old in hip hop dance, in 2015 razan joined Gigi Art of Dance & in 2017 he finished his 1 year internship & training program training under Gigi Art of Dance & worked as semi professional dancer in Gigi Dance Company, dance teacher assistant choreographer, also in production side such as stage management documentation, social media, administrator, etc. trained in contemporary, javanese traditional dance, and hip-hop. now he is continuing his study at Indonesia Institute of Arts Surakarta majoring in dance. Last year, he got a scholarship from to join the Hofesh Schecter Intensive Workshop with Strut Dance in Perth .

Siti Soraya
Enrolled in ballet at the age of 5 in Namarina Dance Academy and earned the Solo Seal Award in 2006. She attended classical ballet and French contemporary dance at Conservatoire National Superieur Musique et Danse su Lyon during fall semester 2007. She joined Marlupi Dance Academy in 2008. Achieved in the RAD's certificate in Ballet teaching Studies in 2014. In December 2018, she got full scholarship to attend STRUT Dance's Hofesh Schecter Intensive Workshop in Perth

Michael Halim
Began his training at the age of 12 at Marlupi Dance Academy. In 2007, he got a scholarship to join the Summer School in McDonald College, Sydney. In 2008, Michael participated in “Phyllis Bedells Ballet Competition” in London and Genee Award Ballet Competition in Singapore in 2009. After 8 years of learning ballet, Michael became the first male who was successfully awarded “RAD Solo Seal” in Indonesia. In June 2018, he joined the Contemporary Professional Intensive in Sydney Dance Company and in December 2018 he got a scholarship from to join the Hofesh Schecter Intensive Workshop with Strut Dance in Perth .

Full Name *
Your answer
Gender *
Date of Birth *
Minimal berumur 15 tahun. Umur dihitung pada tahun 2019, FORMAT ( bulan , hari, tahun). | Must be turning minimum 15 y.o in 2019. FORMAT ( month , day, year)
Home Address *
Your answer
Phone *
Your answer
Email *
Your answer
Parents Name (Emergency) *
Your answer
Parents Phone Number (Emergency) *
Your answer
Dance School Name *
Your answer
Other Informations
You may input all other information that you deem important to know by organizer.
Your answer
Upon receive your registration, we will email you to confirm, as well as designated bank account for payment.

Once payment made, Please reply the email or email to the proof of payment, your full name.

Please note that this registration does not guarantee a spot in Workshop unless payment has been made in full. Slot in class is limited.

Note: Participant who does not turn up at the workshop will be marked as "No Show" and will not receive a refund of any kind. reserves the right to refuse refunds on a case by case basis. Dance class carries risks of injuries that cannot be eliminated regardless the care taken to avoid injuries. While takes reasonable care in conducting the classes, it accepts no responsibility for injury or loss during classes. Participant is responsible for ensuring that he/she is physically and mentally fit for the class.

If you need more info, please contact us at email info [at] or mobile/whatsapp +62 812 9389 8912 (Reynold) or +62 812 8697 1989 (Mariska)

Signature (Full Name) *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Ballet Indonesia. Report Abuse - Terms of Service