Greece Dance Retreat Registration Form
Sign in to Google to save your progress. Learn more
Full Name
Email Address
Phone Number 
Emergency Contact Name and Phone Number
Have you submitted your $200 deposit?
Clear selection
Payment Method
Clear selection
Preferred Roommate(s)
(Please list the names of anyone you would like to room with.)
If your preferred roommate is unavailable, are you comfortable being paired with another participant?
Clear selection
Is there anything you'd like us to consider when assigning roommates?
(Examples: early riser, light sleeper, snoring concerns, prefers a quiet room, etc.)
Will you be renting a car?
Clear selection
If yes, are you willing to share your rental car with other participants?
Clear selection
If no, are you interested in coordinating transportation with others?
Clear selection
How many years have you been dancing?
Do you have any injuries or physical limitations that may affect participation?
Agreement:
*I understand that my deposit is non-refundable after March 1, 2027
*.I understand that the retreat balance must be paid in full by March 10, 2027.
*I understand I am responsible for obtaining a valid passport.
*I understand that airfare and transportation to/from Greece are my responsibility.
*I understand that travel insurance is strongly recommended.
Clear selection
What are you most excited about for the Greece Dance Retreat with Starry Moon Dance Company?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report