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About LEAP preconvention
About LEAP programme
Schedule & Fees
Application
Contact
Home
Events
About LEAP preconvention
About LEAP programme
Schedule & Fees
Application
Contact
MINI LEAP - Application
Application to MINI LEAP 2021
Name
*
First Name
Last Name
Email
*
Age
*
Sex
*
Nationality
*
Address
*
Phone number
*
Website and/or social media accounts (optional)
I am applying as
*
–
a flyer
a base
both flyer and a base
Are you applying with a partner?
*
–
Yes
No
Name of your partner if you're applying with one
Are you interested in training Icarian at MINI LEAP?
*
Let us know if you are interested in Icarian, if there will be enough interest in Icarian we will prepare small Icarian sessions.
–
Very interested in Icarian
Interested in training Icarian 50 %
Interested in training Icarian from time to time
Not interested in Icarian at all
What are your expectations for the course?
*
Emergency contact (name, relation, phone number, email)
*
Link to your application video (you can upload it on YouTube as a public or unlisted video)
*
InShot is a great and intiitive app for making videos :)
http://
Have you received a Covid vaccine or are expecting to receive one before the programme starts? If so, provide details about doses and when you were vaccinated. Have you been clinically diagnosed with Covid in the last year? Or do you suspect you had Covid based on symptoms (loss of smell with unblocked sinuses) in the last year. Acceptance to the programme does not depend on answers to these questions, but it would be helpful for us to know, especially if you are in a high risk group.
*
Anything else you would like to tell us?
