INDAK PATAK DANCE WORKSHOP

Halili-Cruz School of Ballet, Quezon City | October 19 -20, 2019

Pangalan (Full Name) Palayaw (Nickname)

Kapanganakan (Birthdate) Edad (Age) Kasarian (Sex) Civil Status

Tirahan (Address)

Email Address Mobile Number

Edukasyon at Karanasan sa Pagtatanghal

Paaralan (School) Taon sa Pag-aaral (Grade Level)

Major o Disiplina sa Sining (Major or Focus of Art Discipline) Porma ng Sayaw (Dance Form)
___Sining Biswal ____Hiphop
___Sayaw ____Folkdance (Filipino)
___Musika ____Folkdance (Western)
___Malikhaing Pagsulat ____Folkdance (Asian)
___Teatro ____Ballet
___Multimedia Arts ____Jazz
____Contemporary
*maaring higit sa isa
Mga organisasyong kinabibilangan (Organizations)
Organisasyon (Organization) Posisyon Taon (Years of Stay)
1.
2.
3.
(Isulat sa likod kung kailangan pa ng espasyo)
Mga karanasan sa pagtatanghal (Performance Experience)
Pangalan ng Palabas (Title of the show) Papel na Ginampanan (Role) Petsa ng Palabas (Year)
1.
2.
3.
(Isulat sa likod kung kailangan pa ng espasyo)
Emergency Contact
In case of emergency, Contact: Pangalan ng Guro at Numero ( Teacher and
Contact Number):

Kasunduan (Agreement)
Ang lahat ng nakasaad ay totoo at tama. All information stated are true and correct.

Ako ay nangangakong tatapusin ang palihan at I will attend and finish the workshop and all
lahat ng obligasyong kaakibat nito (rihersal at other obligations for the workshop (rehearsals
pagtatanghal para sa Taga-Alog Closing Concert).

Pumapayag akong makunan ng mga litrato at
bidyo bilang bahagi ng Indak Patak Dance
Workshop.
Pumapayag akong magamit ito ng Taga-Alog sa
lahat ng mga materyal nito na kakailanganin para
maabot ang layunin ng kampanya, kasama ang
paglalahathala nito sa mga plataporma tulad ng
Facebook, Twitter, Instagram, at Youtube.
Pangalan ng Kalahok at Lagda (Name of the Participant and Signature):
Petsa (Date):
and performance for the Taga-Alog Closing
Concert).
I give TAGA-ALOG permission to take photos
and videos of me as part of my participation in
the Indak Patak Dance Workshop.
I hereby grant TAGA-ALOG full rights to use,
edit, post, and publish photos and videos of me
for promotions and other purposes that can
help achieve their campaign objectives. This
includes posting photos and videos of me in
their social media accounts, such as Facebook,
Twitter, Instagram, and YouTube.