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LIVING TEMPLE
DANCE THEATRE

APPLICATION

Phone +61492820610

connect@sacredcircleoflife.com

Social Media

Please fill out the form thoroughly, if you have any questions do not hesitate to contact us

Application

First name

Phone

Last name

whats app if different to phone

Choose an option

Address

Age group

Age 18-25

Age 25-30

Age 30-40

Age 40-50

Age 50-60

Age 60-70

Age 70-80

Above 80

instagram

website

Facebook Link

Have you had specific training in dance or performance arts? (include any and all type of music, dance and performance and arts)

If yes, what styles of dance,music, arts and would you say you are beggininer, advnaced or intermediate in these forms. Please give as much details as possible.

What motivates you to join our Rites or Mentor with Mallaika?

Participating requires commitment to attendance and some home practice. How much time could you allocate to practice at home. * Required

1 hour per day

Half hour per day

1 hour 3-4 times a week

Half hour 3-4 times a week

1 hour 1-2 times a week

Half Hour 1-2 times a week

No Time

Do you have any past injuries affecting your health and or mobility ?

Are you currently on any mental health or other medication, please state?

Do you have any mental health concerns ?

Thank you! We’ll be in touch.

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LIVING TEMPLE DANCE THEATRE APPLICATION

Application

LIVING TEMPLE
DANCE THEATRE

APPLICATION