ECITE 2013

Your personal info:

First name:
Family name:
Town/City:
Country:
Mobile phone:
E-mail:
Emergency contact: - full name - contact number
Accommodation Indicate preferred type of accommodation. Please define the first and the second choice. We will try to place you according to your first choice, however we may have to offer you your second choice (with previous notice). Please note: your accommodation will influence your participation fee. Check the COSTS.
	First choice	Second choice
Where would you like to sleep?	ROOM: single, double, three-bed or four-bed room FAMILY ROOM: double or three-bed room HOTEL: single room TENT	ROOM: single, double, three-bed or four-bed room FAMILY ROOM: double or three-bed room HOTEL: single room TENT
What kind of diet do you prefer?	MEAT DIET VEGETARIAN DIET VEGAN DIET
YOUR RELATION TO CI In order to meet and follow your wishes and needs we would like to ask you to answer some questions which will help us to prepare the ECITE program as best as possible. Please answer questions below (each item, max 200 words).
Tell us about Your CI experiences. (max 200 words) Your brief training history Teaching experience (length, in years) Amount of lessons taught per year Your other contribution to dance community
How do you think, what is your specialty in teaching CI? (max 200 words) Describe your recent interest or research in CI. What is your unique approach to CI?
Why would you like to apply for ECITE 2013? (max 200 words)
What would you like to achieve, experience in ECITE 2013? (max 200 words)
What do you think you could contribute to the teachers exchange? (max 200 words) Examples: methodology of teaching, subjects, approaches, facilitation, group works, structures, discussions, films, physical research, other.
Which of the formats will work the best for you/support your participation? (max 200 words)
Anything else you would like us to know/you would like to add? (max 200 words)
Have you participated in previous editions of ECITE? *If yes, please answer the following questions. (max 200 words) What did work out in previous ECITE programs? What did not work out? Which of the schedule formats worked the best?
LIABILITY STATEMENT I am aware that any form of dance/movement includes risks of injuries. Careful and caring interaction while moving is essential for emotional and physical safety. Participating in the event demands a high level of responsibility for myself and for others that I am willing to take. I agree that insurance for myself and a liability insurance concerning others is my own responsibility, and I discharge the organizing team of the event from any responsibility in this respect. Should I be involved in the damage of equipment or the venue during the event I agree to cover the costs of the repairs. I have read and understood the above statement and agree to it. Signature: After submitting, you should see a green confirmation page. If you don`t hear from us within a week, please contact us by mail at (……) If the maximum number of participants is not reached yet and we can see from your application that you are an active CI teacher we will confirm your registration in one week at the latest. If we need more information about your participation, we will contact you by email. ECITE 2013 organizers team.