JILLINA'S WEEKLONG INTENSIVE APPLICATION
NAME *
EMAIL ADDRESS *
ADDRESS
PHONE
WEBSITES/PAGES
HOW MANY YEARS HAVE YOU BEEN BELLYDANCING?
DO YOU HAVE TRAINGING IN ANY OTHER DANCE STYLES?
WHAT KIND?
HOW MANY YEARS?
DO YOU TEACH?
HOW MANY HOURS PER WEEK?
DO YOU HAVE A SCHOOL?
DO YOU HAVE ANY VIDEO CLIPS ON YOUTUBE OR ANYWHERE ELSE? (If so, please send us the link, you must submit a video to be considered)
WHAT SUBJECTS ARE YOU MOST INTERESTED IN LEARNING AT A WEEKLONG?
ARE YOU INTERESTED IN PERFORMING AT THE GALA SHOW?
ARE YOU INTERESTED IN PERFORMING AT THE PERFORMANCE REVIEW CLASS?
HAVE YOU EVER TAKEN A WORKSHOP WITH JILLINA BEFORE?
IF YES, WHERE?
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