Gaga Intensive Winter Course December 2017 Tel Aviv - Application Form
Please fill this out after you have submitted the 150 ILS application fee through PayPal and sent your CV, photo and video to gagaint@gmail.com.
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Given name/שם פרטי *
Family name/שם משפחה *
E-mail *
Sex/מין *
How old will you be on the first day of the workshop? *
City of residence (and state, if applicable)/עיר *
If you are a U.S. resident, please list your city as well as your state
Country of residence/ארץ *
Phone number/מספר טלפון *
Please include the country code.
Emergency contact: name + number/איש קשר למקרה חירום *
Please include the country code.
Passport number and country of issue/תעודת זהות *
Have you attended a Gaga Intensive in Tel Aviv? השתתפת בגאגא אינטנסיב בת"א? *
If you answered "Yes" to the previous question, what year(s) did you attend? מתי השתתפת בגאגא אינטנסיב?
Please check all that apply.
Have you attended a Gaga Intensive in the U.S.? *
If you answered "Yes" to the previous question, what program(s) did you attend?
Please check all that apply
Have you attended a Gaga Intensive in Europe? *
If you answered "Yes" to the previous question, what program(s) did you attend?
Please check all that apply.
Have you ever participated in any Gaga classes outside the framework of a Gaga Intensive course? האם השתתפת בעבר בשיעורי גאגא שלא במסגרת קורס גאגא אינטנסיב?
Including open Gaga classes (Gaga people/Gaga dancers) or Gaga classes in the framework of workshops
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How did you find out about our program? *
Please check all that apply
Required
I confirm that I have paid the 150 ILS application fee and submitted my CV, photo and video. *
הריני לאשר כי שילמתי את דמי ההרשמה על סך 150 ש"ח ושלחתי את קורות החיים, התמונה והוידאו
Health/orthopedic problems/בעיות בריאותיות *
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