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Application form workshop SITE SPECIFICS 2022
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* Indicates required question
Email
*
Your email
Naam / Name
*
Your answer
Adres / Address
*
Your answer
Telefoonnummer / Phone number
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
X
Food preferences
*
Vegetarian
Other:
Required
Website / soundcloud/ others…
*
Your answer
Stel jezelf voor (10 regels) / present yourself (10 lines)
*
Your answer
Motivatie (10 regels) / Motivation (10 lines)
*
Your answer
Wat verwacht je van de workshop / what do you expect from the workshop?
*
Your answer
Materiaal dat je kan meebrengen naar de workshop / Equipment possible to take with to the workshop
*
Your answer
Vragen? / Questions?
Your answer
How did you hear about SITE SPECIFICS?
Newsletter Musica
Facebook Musica
From a teacher
From a fellow student
Other:
Privacy Policy:
https://www.musica.be/en/privacypolicy/
Musica Impulse Centre vzw
Provinciaal Domein Dommelhof • Toekomstlaan 5B • 3910 PELT • BELGIUM
Enterprise numberr: 0418.205.602 • Register of legal entities Antwerp • department Limburg
+32 (0)11 610 510 •
info@musica.be
•
www.musica.be
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