Costa Rica 2020 - Registration Form
Contact Improv Retreat in Cahuita Costa Rica - February 22-29, 2020
Full Name *
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Email *
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Home Address: *
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Phone #: *
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Passport: Country & # *
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Date of Birth *
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How did you hear about this retreat: *
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I have these special dietary needs: *
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I am in excellent health & physical condition (If not, please describe your condition and/or medication.) *
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In case of emergency, contact: *
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Occupation and/or vocational passion/dream: *
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Contact Improvisation and/or Dance/Movement Experience: *
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What do you hope to receive/experience from this retreat: *
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Check the sleeping option that you are choosing (subtract the early-bird discount if applicable) *
If there is someone you plan to room with please let me know
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If you are staying in the dorms - do you mind being in a co-ed dorm space or would you prefer to be in single sex dorm?
If you know already… when do you plan on arriving and departing?
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If you have already made your flight reservations please write your airline, flight number and day/time that you are arriving and departing (if not please send me the info as soon as you make your reservations):
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Costa Rica Contact Improv Diversity Scholarship *
Dear Participant, Please help fund Costa Rican dancers to attend! Three years ago I started this initiative to make this retreat more accessible to Costa Ricans wishing to participate but financially unable to. Last year due to the generosity of our community committed to diversity and accessibility we were able to raise enough for 3 Costa Rican dancers and 1 Guatemalan dancer attend! The experience was enriched for us all and gave them training and inspiration to take back to their local dance community. When I started teaching Contact Improv in Costa Rica eight years ago there were no Contact Jams and practically nobody trained in Contact Improv in the country. Now there is a thriving weekly jam started by students of mine. Help me continue to support the local dance community to thrive! Thanks for any amount no matter how small or large that you are able to help out with! To donate and for more info click here: https://www.gofundme.com/f/costa-rica-diversity-scholarship-2020
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