大駱駝艦特別体験舞踏合宿申込フォーム
【Dairakudakan Summer Intensive Application Form】
Please enter your email address below.

Webからのお申込みだけでは受付は完了しません。
下記項目に入力し送信するとシステムからの自動返信メールが届きます。
その後、1週間以内に大駱駝艦からメールをお送りしますのでお待ちください。
Application is not completed only by submitting an application on the web.
Please fill out the following form and send it to us, and you will receive an auto-reply e-mail from our system.
After that, you will receive an e-mail from Dairakudakan in a week.

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Email *
全日程参加可能ですか？Can I participate in all days? *
【現地集合】7/27(土)昼12時【現地解散】8/4(日)午後　【Pick up】Saturday, July 27, 12:00 noon, Hakuba Village【Drop off】Sunday afternoon, August 4, Hakuba Village
年齢(Age) *
16歳以上55歳以下のみの募集となっております。Applications are only open to those between the ages of 16 and 55.
姓 (family name) *
名 (first name) *
フリガナ(nickname) *
生年月日(Date of birth) *
MM
/
DD
/
YYYY
性別(sex) *
郵便番号(postal code) *
国籍(Citizenship) *
住所(address) *
携帯電話番号(telephone number) *
現在の職業(Occupation) *
靴のサイズ(Shoe size) *
公演時に地下足袋を着用します。手配いたしますので、普段履いている靴のサイズをご回答ください。適している選択肢がなければその他に記入してください。Tabi Shoes will be worn during the performance. We will arrange this for you. Please provide us with the size of shoes you usually wear.If there is no suitable option, please fill in Other.

食事に関して、アレルギー等で食べられない素材があればお知らせください。Regarding meals, please let us know in advance if there are any ingredients you cannot eat due to allergies or other reasons.

 *
これまでに、ダンスや演劇などのご経験はございますか？Do you have any previous experience in dance or theater? *
参加志望動機(Reason for participation) *
過去に大駱駝艦のWSや特別体験舞踏合宿に参加したことはありますか?ある場合はどのワークショップに参加されましたか？Have you participated in any of Dairakudakan's workshops or  Summer Intensive in the past? If so, please indicate which one(s) you participated in. *
A copy of your responses will be emailed to the address you provided.
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