Hejje – Winter Dance Retreat 2020 Registration Form

Hejje – Winter Dance Retreat 2020 is a week long residential workshop organised by Deepam Odissi Academy that will take place in Mangalore, India from January 17th – January 20th 2020. Please read through the course outline on this link for information about the workshop. Once you have done this, please respond to the questions below and click ‘submit’.

Deepam Odissi Academy is offering training in Odissi led by Guru Deepak Roy and Aishwarya Hegde. Yoga, warm-up sessions and lecture demonstrations will be conducted by Sudharashan Sampath

For any queries about the registration procedure or general ‘Hejje – Winter Dance Retreat’ information please contact Aishwarya Hegde at aishwarya.h2012@gmail.com

The fees for Hejje Winter Dance Retreat 2020 are as follows:

Option 2: ALL INCLUSIVE
All inclusive (tuition fees, accommodation and meals): Rs 15,000

Option 3: FOR LOCAL RESIDENT STUDENTS ONLY
Rs 4,999

*Deepam Odissi Academy bank details will appear on the screen once the application has been submitted. Please contact Aishwarya at aishwarya.h2012@gmail.com with any financial queries.

Participant's Full Name(required)

Email Address(required)

Date of Birth(required)

Address (City & Country)

Contact Number(required)

Dance Training

Have you had any prior dance training? If Yes, which style?(required)

How long have you been learning your chosen dance style?

accomodation

Will you need accommodation to be arranged for you during Hejje-Winter Dance Retreat?(required)

Room Requirements(required) Single occupancy (non-sharing)

Double Occupancy (sharing with one other participant)

No Accommodation Required

Do you have any dietary requirements? (required)

Do you have any health concerns we should be aware of? (required)

Emergency Contact Information

Full Name(required)

Relationship to You(required)

Phone Number(required)

Alternative Phone Number

Email Address(required)

DECLARATION

I confirm that the above information is correct. I am fit and able to undertake the programme at Hejje – Winter Dance Retreat 2020 that I am applying for and take full responsibility of my well-being. I agree to withdraw from any activity unsuitable for my level of ability and/or fitness. (required) YES

Dance Training

accomodation

Emergency Contact Information

DECLARATION

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