Fukki Lak, Benn Xol ~ 10 Languages, One Heart
Dance & Music Program
Cultural Tour Program
Dance or Music
omi davis co
Complete registration form below.
Full Name (as it appears on your passport)
Choose one: Dance or Music
Other Musical Instrument (specify in notes)
Chaperone (food & lodging only)
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)
Does Not Apply
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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