Intake Form: Balinese Dance I
Thank you for registering for Gamelan Sekar Jaya's Fall 2023 Balinese Dance I class, taught by Shoko Yamamuro! Your answers to this survey will help Bu Shoko prepare for the class.
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What name would you like to be called in class? *
What email should we use to contact you? 
Which pronouns do you use?
If you have experience with Balinese dance, please explain briefly.
GSJ is committed to making the Balinese arts accessible to people of all abilities. If you have accessibility needs, please explain them here so that we can ensure adequate accommodations.
Can GSJ use photos that include you for publicity and grantwriting purposes? (Applies to photos taken during class) *
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