《看不見》演出者招募-報名表 /Call for Participants of CEGOS (BLIND)-REGISTRATION FORM
巴西劇團「集體越軌」Desvio Coletivo《看不見》BLIND-工作坊與演出招募簡章
CEGOS (BLIND) Workshop and Performance In Taipei

1. 工作坊Workshop
(1)日期/DATE:2017/07/05(Wed. 周三)、07/06(Thu. 周四)
(2)時間/TIME:15:00-19:00
(3)地點/PLACE:國立臺北藝術大學戲舞大樓 C2204教室(C2204, Theatre and Dance Building of Taipei National University of the Arts)

2. 演出Performance
(1)日期/DATE:2017/07/08(Sat.周六)
(2)時間&地點/TIME&PLACE:活動時間約8小時(含準備及清洗時間),詳細時間及地點將於工作坊時公布。The performance will be 8 hours(including preparation and cleaning), arrival time and place to be confirmed in the workshop.

3. 注意事項/ATTENTION
(1)《看不見》所有相關活動免費參加,限年滿十八歲者,需全程準時出席工作坊及演出。
(2)活動需長時間在戶外站立或行走,請先完整閱讀「表演者須知」,並審慎評估您的身體情況後,再填寫以下報名表。
(3)需自備演出服裝,款式說明亦請見「表演者須知」。
(4)活動以英葡語進行,備中文翻譯。

(1)The workshops and performance events of BLIND is free of charge. To participate, you need to be over 18 years old, and attend the events on time.
(2)BLIND requires a lot of standing and walking outdoor. Please read the attached Performer Guidelines and consider carefully your health condition before registering the events.
(3)Each performer must bring their own costume in accordance with the attached Performer Guidelines.
(4)The events will be in Portugese and English with Chinese translation.

*表演者須知:https://goo.gl/zqYZyA
*Performer Guidelines:https://goo.gl/cC5oX4

*主辦單位將為參加者投保公共意外責任險。Accidental death insurance will be purchased for the performance.
*詳情請參考活動頁面 More Details:http://www.wsd2017.com/news/detail/500

Cegos(BLIND) / Photo Credit: Eduardo Bernardino
A. 個人基本資料 PERSONAL DATA
中英文全名 Full name
(中文使用者請加填英文姓名,便於活動期間對話使用)
Your answer
身分證字號 Passport number
Your answer
國籍 Nationality
Your answer
生理性別 Gender
Required
出生年月日 Date of birth
MM
/
DD
/
YYYY
連絡電話 Cellphone number
Your answer
電子信箱 E-mail
Your answer
聯絡地址 Address
Your answer
現職 Occupation
Your answer
緊急聯絡人Contact person in case of emergency
Your answer
緊急聯絡人電話 Contact phone number in case of emergency
Your answer
關係 Relationship
Your answer
B. 醫療資訊 MEDICAL INFORMATION
《看不見》演出當日約工作八小時(包含前置準備、演出、演出後整理),請註記是否有需要主辦團隊知道的相關醫療需求。BLIND has an average duration of 8 hours (set up, performance and postperformance), indicate below if there are any medical needs to be taken into consideration during the performance.
醫療需求 Medical Needs
若有上述任何一項需求,請進一步具體說明/If any of the above options apply, further explain:
Your answer
C. 以下請確認並打勾 Please make sure you understand the following conditions and check each item :
我明瞭並自行負責我的健康狀況。我確認我的健康狀況可以參與《看不見》演出。I am aware of and responsible for my health and I am fully capable of participating in BLIND.
Required
我已閱讀過「表演者須知」文件,我明瞭我需自行準備演出服裝,並於工作坊第二日和演出當日帶來。I have read the Performer Guidelines and received instructions regarding the costume. I am aware that I am responsible for bringing my own costume on the second day of the workshop and on the day of the performance.
Required
我授權主辦單位及巴西「集體越軌」劇團擁有我於工作坊及演出現場被拍攝及錄影到的影音畫面,並可重製及散播使用。I authorize Desvio Coletivo and the organizer of World Stage Design the use of my image and sound of my voice captured during the workshops and performance of Blind.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms