Please fill in this form to register for this program

There are limited spots available. Please note, not all participants will be accepted. Filling in this form doesn’t secure your spot. Once you have submitted your form, someone will be in contact with the next steps. Looking forward to learning more about you and why you would love to embark of this journey

PERSONAL INFORMATION

Name

First Name

Last Name

Phone number

Country of Residence

Age

BACKGROUND AND EXPERIENCE

Briefly describe your dance background (if any)

Have you attended any dance or cultural retreats before? If yes, please provide details

Are you familiar with Brazilian dance and culture? If yes, please elaborate

MOTIVATION AND EXPECTATIONS

Why are you interested in participating in our retreats? (E.g., personal growth, cultural exploration, dance improvement)

What do you hope to gain from this experience?

INTEREST AND PREFERENCES

Which retreat are you interested in?

Roots of Bahia Retreat

Rio Samba Experience

Both

Are you interested in:

Dance

Culture

Both

What aspects of the retreat/s are you most excited about?

FIT FOR RETREAT

What qualities or attributes do you believe make you a suitable participant for our retreats?

What challenges or limitations, if any, might affect your participation?

Do you have any allergies or medical conditions that we may need to be aware of?

AVAILABILITY AND COMMITMENT

What payment installment would you like to commit to?

One time full payment

2 installments

3 installments

Can you commit to the entire duration of the retreat(s)?

Are you willing to participate in all scheduled activities?

ADDITIONAL INFORMATION

Is there anything else you would like us to know about you?

Do you have any specific questions or concerns?

Please fill in this form to register for this program

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