Application Form for Kirtan Course

    Package 6 - Apartment, bedroom, kitchen with dinning room, bathroom - 1885€

    Your Name*

    E-mail*

    Date of Birth*

    Gender*
    MaleFemale
    Skype

    WhatsApp

    Address*

    Telephone*

    Marital status*
    SingleMarriedDivorced
    Where did you hear about the Bhaktivedanta College Radhadesh Kirtan Course?*



    Health information

    Do you currently have any physical health problems?*
    YesNo

    Have you had any mental or emotional health problems? *
    YesNo

    Do you currently have any mental or emotional health problems? *
    YesNo

    Do you regularly take any medication? *
    YesNo



    Criminal / Abuse screening

    Have you even been convicted of a criminal offence?*
    YesNo

    Have you ever been convicted on any domestic violence charges?*
    YesNo

    Were you a victim of abuse or molestation while a minor?*
    YesNo

    Have you ever been accused of abusing a child?*
    YesNo


    References*:

    Self-evaluation

    Please evaluate your level of knowledge and expertise of:

    Karatals*Almost zeroSomethingPretty averageVery goodExpert
    Harmonium*Almost zeroSomethingPretty averageVery goodExpert
    Mridanga*Almost zeroSomethingPretty averageVery goodExpert
    Singing*Almost zeroSomethingPretty averageVery goodExpert


    What challenges (if any) do you anticipate during the Kirtan Course?

    Dietary limitations:

    I will need transportation from the airport/train station:*

    In case of "YES" we will contact you shortly before the event to arrange for your pickup. Departure arrangements will be organized before the end of the Kirtan Course.
    YesNo

    I want to buy a mridanga. (A mrdanga of your choice available amongst those owned by the Kirtan Course):*
    Yes (250€)No

    Deposit money will be send by:
    Bank wireTransferWisePayPal

    Rest of the money will be given by:
    Bank wireTransferWiseCash

    After we receive your registration email you will be asked to pay a non-refundable booking/security deposit of 450 EUR. Only after we receive your deposit payment booking is confirmed.
    Registration confirmation