Hope to participate in the
Eternity 永遠 - Summer 2018 Workshop

This is the last International Butoh Workshop with Masaki Iwana
at La Maison du Butoh Blanc, South Normandy, France

Please complete the form and send it to us at the email address at the bottom of this form.

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SUMMER DATES: 12 – 26 August 2018

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Arrive: Friday 10 August 2018 (before 21:00h)
Note: Please arrive on Friday the 10th, since the next day we have tasks.

Week 1:
	Sunday 12 - Thursday 16 August 2018
	5 hours/day, 5 days/week with Masaki Iwana

Week 2:
	Sunday 19 - Thursday 23 August 2018
	6 hours/day, 5 days/week with Masaki Iwana and tutor

Total: 60 hours + 2 days of performance for Festival Verda Utopio

Festival Verda Utopio »
	Saturday 25 August 2018 at 15:00h & 19:00h
	Sunday 26 August 2018 at 15:00h

Depart: Monday 27 August 2018 (after 12:00h)
Note: Please depart on Monday the 27th, since the next day we have tasks.

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ABOUT YOU

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First name:	________________________________
Family name:	________________________________
Gender:		________________________________
Nationality:	________________________________

Telephone:		________________________________
Email address:	________________________________
Home address:	________________________________

This workshop is for anyone, any age who has worked with Masaki before.
Please tell us when this was: ________________________________

If you wish to join this Normandy workshop, you are kindly requested to send us a short biography, some information about your dance approach, and a headshot (300kB max). Also, please tell us how you learned about this project:

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BOOK YOUR WORKSHOP
Save money by booking early!

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Cost: €550 for two weeks (accommodation included)
First week only = €300 (3 places only).
Payment must be made before Monday 6 August 2018.

Early Bird Reductions for ‘2 weeks participants’:
€400 for the first 2 people who register and pay before Saturday 23 June 2018 (Please note that this is non-refundable).

€500 for the first 3 people who register and pay before Saturday 21 July 2018.

Special notice: if you want your name on the flyer for Butoh Festival Verda Utopio, you need to send us the fee by Saturday 21 July 2018.

Board: €5 per day (note: lunches and weekends are not included / payment at the place).

Please note: We ask you to send a minimum (non-refundable/inside of cost: to keep your seat) deposit of €60. You will need to pay the rest of the total amount by Monday 6 August 2018. Online bank transfer is preferred.

Note: Costs include lodging and utilities, but exclude €5 per day for board

Number of participants: 18 persons max. including 1 assistant
Applications accepted: Friday 1 June – Monday 6 August 2018

To secure my place on the chosen workshop I agree to pay the minimum (non-refundable/ inside of cost: to keep your seat) deposit of €60.

TOTAL FOR THE WORKSHOP:
(Please write the amount in euros below)

€
___________________

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PAYMENT METHODS

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1. Via bank transfer:
Bank account: 16707 00050 10621167173 76
Bank name: Banque Populaire de L'Ouest (BPO), Mortagne au Perche, France

Note: after having paid we need the copy of payment certification by email.

2. Via cheque:
Cheque payable to: La Maison du Butoh Blanc / Masaki Iwana
Address: La Maison du Butoh Blanc, La Perrotière, 61400 Réveillon, France

Please ensure that we receive your application and payment by Monday 6 August 2018. Payment by cash on-the-spot is not acceptable because of our duty to declare to the French government.

Please do not send photo attachments larger than 300kB. Because of our internet limitations, we cannot accept large files. Thank you.

Attention:
In case after having paid you cancel, we have a Payment & Reimbursement Policy. For details please ask us.

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THANK YOU

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Thank you for completing this form.
We look forward to seeing you in Normandy!

~ Masaki Iwana

Telephone: +33 6 2959 5245
Email: mskiwn81@yahoo.co.jp
Web: www.iwanabutoh.com