Register DanceMusic

E-mail Address: *

Full Name (as it appears on your passport) *

Mobile Number *

Passport Number

Address 1 *

Address 2 *

Profession *

Choose one: Dance or Music *

Are you a parent of a participant?

Emergency Contact Name *

Emergency Contact Number *

How did you hear about our workshop?

Do you have any physical or psychological conditions which may impact your stay? If so, please explain so we'll know how to take care of you! *

Any food allergies? If so, please list them! *

LIST any dietary restrictions (e.g., vegetarian, vegan, etc.)

Level of Dance Training *

Level of Musical Training (if applies to your program)

Comments? Notes?

Please type your name to acknowledge that workshop fees are non-refundable. However, special circumstances will be considered at the discretion of omi davis co. In the event that the workshop is cancelled, all fees will be refunded. *

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Step 2: Complete registration form below.

Step 2:

Complete registration form below.