Application - Biodanza School of Australia

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Application - Biodanza School of Australia - 3rd Cycle

This form is intended to be filled in by people interested in participating on the 3rd cycle of the Biodanza School of Australia. For more information on Biodanza please visit http://www.biodanza.com.au or if you have any questions please contact Agnes at va@biodanza.com.au

First Name *

Surname *

Email address *

Date of Birth *

YYYY

Address and Postal Address *

Contact phone number *

Please provide the name and phone number for your next of kin (in case of an emergency). *

For how long have you been doing Biodanza and in which group/s? *

Please outline your Biodanza experience (estimated no. of class hours + workshops) *

What are your personal motivations for entering the Biodanza School? *

Do you have any medical, mental health or other conditions or special health needs that may affect your participation in the Biodanza School ? *

It is not possible to enter the training programme if you have an active, unmanaged addiction to illegal drugs or alcohol. *

I am not actively addicted to illegal drugs or alcohol

Other:

Please let us know if you are on any medication for physical or mental health issues that might be relevant. This information will be kept confidential. *

Is there anything else you would like us to know that you think might be relevant? *

I confirm that I understand that while every care is taken by the School Director and didactic team to provide a safe environment in workshops, I am personally responsible for myself, my physical and mental care and participation in workshops, activities during workshops and travel to and from workshops. *

Yes

Other:

I confirm that I have read the Biodanza School Regulations and the BSA3 Course Outline and and undertake to respect the commitments outlined in these documents. *

Yes and I would like to apply to join the Biodanza School of Australia - 3rd cycle

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms