Page 1 of 1
Temple Arts Training 2027 Application Form
From
SOMA ▽ School of Mystery, Sacred Dance & Feminine Alchemy
™
4 week Holistic Dance Language Immersion
18 January - 14 February 2027 in Goa, India
Here you find details about the training:
https://zoladubnikova.com/mystery-school-yearly-immersion/
For further questions please contact:
holisticdancelanguage@gmail.com
* All information given is for Zola Dubnikova organisation only
Email*
*
This form is collecting emails.
Name
*
Nationality
*
Occupation
*
Country of birth
*
Address
*
Phone / WhatsApp number
*
Emergency contact number
*
Social profile - please share both Facebook & Instagram if you have:
*
When and how did you first come across Zola and her offerings?
*
Have you attended any of Zola's in person or online workshops/retreats/courses before? If yes, please specify which, where and when.
*
How did you find out about the 4-week Temple Arts Training?
*
Do you have a close relationship with Zola?
*
What is your movement/dance experience?
*
What draws you to this course?
*
What do you hope to receive from the Temple Arts Training?
*
Please upload a profile photo of yourself that allows us to get to know you better
*
Click to choose a file or drag here
Size limit: 10 MB
MEDICAL INFORMATION
It's essential that we receive your honest and thorough answers so we can best support you.
Do you have any pre-existing medical conditions/injuries? If yes, please specify. What measures have you taken thus far to live with or overcome this condition? Please be thorough.
*
Have you had any history of mental illness or have you been hospitalised for mental conditions? Please specify. Have you ever been on medication for any kind of mental health diagnosis? Please specify.
*
Are you taking any prescription medication? If yes, please specify which medication and for which condition.
*
Personally and collectively, we have all experienced trauma which is in the body as tension. What is your relationship to unwinding these tensions within yourself, and in community?
*
Do you have any allergies/dietary requirements? Please specify.
*
Is there anything else you'd like to add?
*
PHOTOGRAPHY AGREEMENT
During the immersion, photos and videos are taken to document our shared experience. Zola takes deep care in selecting photos to represent participants only in their highest light.
Please know that selected photographs may be occasionally used for public documentation/advertising purposes.
If you do not want to be photographed, it is your responsibility to stay ind designated areas (photo free zones) or for group shots, to stay slightly separated from the group.
*
During the immersion, photos and videos are taken to document our shared experience. Zola takes deep care in selecting photos to represent participants only in their highest light. Please know that selected photographs may be occasionally used for public documentation/advertising purposes. If you do not want to be photographed, it is your responsibility to stay ind designated areas (photo free zones) or for group shots, to stay slightly separated from the group.
A
I am ok to be photographed
B
I do not wish to be photographed
Would you like to join Zola's mailing list to receive newsletters about upcoming courses and offerings?
*
Would you like to join Zola's mailing list to receive newsletters about upcoming courses and offerings?
A
Yes
B
No
C
I'm already subscribed
Thank you for completing the application form for the Temple Arts Training in India this coming winter
Please read the
Cancellation & Waiver
form here.
Our team will be in touch shortly to confirm your application form and to book a follow up call.
Submit