Odissi Application

PLEASE FILL OUT THIS FORM TO APPLY FOR ONLINE COURSES

*IMPORTANT TIPS for completing this form:

Copy and Save all data incase of error
Please send us an email after submitting this form letting us know you submitted.
If you do not receive a confirmation email from us within 2 days of completing of your application, it means we have not received it.
Acceptance to this program is based on prior experience in trainings at SSD or with Colleena, as well as your responses in this application form.
If English is not your first language, you may still apply. Responses should be in English.
A note about items/choreographies: we ask that you provide all of the information regarding the items you have learned. We uphold the Odissi tradition of sharing items with students only if they have been approved by their teacher / guru. If you are applying for an item review class, please let us know when you learned the item and by whom. *

TERMS AND CONDITIONS

Read and agree to our terms and conditions page before you fill out this application. You will digitally sign the waiver form on your application which indicates that you have read this page all the way through. READ NOW

First and Last Name

SSD Online *Login ID* or Email Address associated with your account: (If you have not created an account yet on our SSD Online Course page, please do so now before submitting this application)

Date of Birth

Nationality

Country of Residence

Website and/or Social Media Profile

WHAT COURSES ARE YOU APPLYING FOR WITH THIS APPLICATION? PLEASE LIST ALL.

TRAINING WITH COLLEENA: Please check any options below reflecting your experience:

I have studied with Colleena Shakti in a WORKSHOP (under 15 hours) I have studied with Colleena Shakti in a RETREAT (25 hours or more) I have studied at Shakti Summer School ~ Greece (25 hours or more) I have studied at Shakti School of Dance ~ Pushkar Odissi intensive (80 hours or more) None of the above

TRAINING: Have you had any formal dance education? Please describe and list teacher/institution.

LEVEL: Please describe yourself as dancer:

Hobbyist Student Level Intermediate - Dedicate student Intermediate - Aspiring professional Professional - Performer / Teacher

CURRENT PRACTICE: What styles of dance do you practice regularly? And for how many hours per day/week?

ODISSI CHOREOGRAPHIES & LEVEL** - Please list the Odissi choreographies you have learned (if any). Please tell us the year you learned the item and who you learned from. Please tell us the lineage of your teacher or teachers. If you have not learned any items, please write "n/a" in the box below. (ITEM - YEAR - TEACHER)

How did you hear of our school?

PARTICIPANT WAIVER AND RELEASE OF LIABILITY I hereby waive, release and discharge any and all claims for personal injury or property damage which I may incur while in attendance at Shakti Summer School in Crete, Greece. This release is intended to discharge Shakti Summer School, its affiliates, and respective employees from any liability arising out of or connected in any way with my participation in the courses. I further understand that accidents and injuries can arise out of my participation in the school; knowing the risks, I hereby agree to assume those risks upon myself and release the school of any liability. I have read the *Terms and Conditions Page, which includes: *School Cancellation Policy, *SSS and VS Policy and our *Health & Safety / Assumption of Risk. I fully understand agree to the contents. I understand that I may be asked to leave if my behavior is in conflict with school policies. I am aware that this is a release of liability and a contract between me and Shakti Summer School, Greece and voluntarily agree to the terms and conditions stated herein. I am signing this of my own free will and voluntarily agree to all of the terms and conditions as listed here.

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