2026 Rio Zouk Immersion Intake form

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Welcome Rio Zouk Immersion Applicants! Please take your time with this our intake form to give us the best possible view of your dance background and desired experience while training in Brazil. Obrigado e Abraços!

Email *

First Name (as shown on passport) *

Last Name ( as shown on passport) *

Birth Date *

YYYY

Phone #. (include country code) *

Instagram / Facebook: *

City *

Country *

Sex *

Male

Female

Non-Binary

Role *

Leader

Follower

I have a Passport Valid until at least May of 2027 (IF No, please get a new one right away!) *

Yes

No, I need to renew

I have a Brazilian Visa

Yes

Not yet

I do not need one.

Clear selection

I have medical travel insurance *

Yes

I have been dancing Zouk for: *

I just started

6 months

1 year

1.5 years

2 years

3 years

4 years

5 years or more

My Zouk Training: (overview of your training thus far) *

My other dance or movement training background is:

I have traveled internationally for dance training or events? *

Never

1 time

a few times

Many times

Required

I have traveled to Brazil before? *

Yes

What best describes your reason for joining the course?
*

I am joining the Training Track: *

Zouk Level -1 Track (Dancing less than 3 years)

Zouk Level - 2 Track (Dancing Zouk more than 3 years)

Any Health / physical concerns we should be aware of?

I found out about this program the first time via: *

Google search

A friend recommended

Facebook Share

Facebook Ad

Instagram Ad

Other:

The person who recommended this course was:

I would like to attend in the year: *

2026

2027

A copy of your responses will be emailed to the address you provided.

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