Application - Biodanza School of Australia - 3rd Cycle
This form is intended to be filled in by people interested in participating on the 3rd cycle of the Biodanza School of Australia. For more information on Biodanza please visit http://www.biodanza.com.au or if you have any questions please contact Agnes at va@biodanza.com.au
First Name *
Your answer
Surname *
Your answer
Email address *
Your answer
Date of Birth *
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Address and Postal Address *
Your answer
Contact phone number *
Your answer
Please provide the name and phone number for your next of kin (in case of an emergency). *
Your answer
For how long have you been doing Biodanza and in which group/s? *
Your answer
Please outline your Biodanza experience (estimated no. of class hours + workshops) *
Your answer
What are your personal motivations for entering the Biodanza School? *
Your answer
Do you have any medical, mental health or other conditions or special health needs that may affect your participation in the Biodanza School ? *
Your answer
It is not possible to enter the training programme if you have an active, unmanaged addiction to illegal drugs or alcohol. *
Please let us know if you are on any medication for physical or mental health issues that might be relevant. This information will be kept confidential. *
Your answer
Is there anything else you would like us to know that you think might be relevant? *
Your answer
I confirm that I understand that while every care is taken by the School Director and didactic team to provide a safe environment in workshops, I am personally responsible for myself, my physical and mental care and participation in workshops, activities during workshops and travel to and from workshops. *
I confirm that I have read the Biodanza School Regulations and the BSA3 Course Outline and and undertake to respect the commitments outlined in these documents. *
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