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Application Form for ADAC Teacher Training (ATT)
Certificate in Aerial Hammock | 22 Sep 2021 to 3 Oct 2021 | Aerial Dance Art Concepts
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Personal Particulars
Please provide your personal particulars to register for the programme. Your name provided will be used for certificate issuing.
Given Name
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Your answer
Surname
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Your answer
Gender
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Choose
Female
Male
Other
Date of Birth (DD/MM)
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Your answer
Age Group
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Choose
20-25
26-30
31-35
36-40
41 or above
Contact
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E-mail Address
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Your answer
Correspondence Address
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Your answer
Prior Certificates or Experience
Your answer
Disabilities / Special Learning Needs (if any)
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No
Yes, please specify in following question
Please let us know how can we assist you for your special learning needs
Your answer
Being Connected with ADAC
Facebook
Instagram
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I would like to be connected with ADAC through
Facebook
Instagram
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I would like to be connected with ADAC through
Your Social Media Connections (Please provide your user name for us to get in touch | e.g.: FB: HKADAC; IG: adaconcepts)
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EMERGENCY CONTACT
The emergency contact will only be used when in case of emergency.
Title of Contact Person
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Mr.
Mrs.
Ms
Name of Contact Person
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Your answer
Relationship to the Emergency Contact
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Father and Son/ Daugther
Mother and Son/ Daugther
Spouse or Partner
Other:
Emergency Contact
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Your answer
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