伙伴计划演出协议书-HongKongDanceAlliance.DOC

主辦 Presented by: 支持Supported by: 香港舞蹈聯盟為藝發局資助團體 城市當代舞蹈團由香港特別行政區政府資助 Hong Kong Dance Alliance is financially supported by the ADC.　City Contemporary Dance Company is financially supported by the Government of the Hong Kong Special Administrative Region. 創意空間編舞「中間人」駐場計劃2016申請書 Application Form for Creative Space 2016: Residency for Mid-Career Choreographers Please fill this form in English 請以英文填寫 A) 申請者資料　Information of Applicant 申請人姓名　Name of Applicant 通訊地址　Correspondence Address 電話　Telephone Number 傳真　Fax 手提電話　Mobile Phone 電郵　E-mail Address B) 過往編舞經驗　Past Choreographic Experience 年度 計劃及作品名稱 長度及舞蹈員數目 資助來源Year Production Dance Title Dance Length Number of Dancers Source of Funding (可另加附頁詳述Please use additional sheets as needed)  C) 擬議作品資料　Details of Proposed Work - 參加原因 Reason for applying - 計劃理念及大綱 Concept and framework of proposal - 預期成果 Expected outcome (可另加附頁詳述Please use additional sheets as needed) 舞蹈種類　Dance Genre (可選多項 May select more than one) ? Chinese Dance 中國舞 ? Ballet 芭蕾舞 ? Modern Dance 現代舞 ? Ethnic Dance 民族舞 　　　　? Jazz 爵士舞　? Street Dance 街頭舞 ? Hip Hop ? Others 其他 Please specify 請列明:_____________ 推薦舞蹈員　Recommended Dancers 1. 姓名Name: ______________________________ 2. 姓名Name: ______________________________ 3. 姓名Name: ______________________________ D) 聲明Declaration 本人茲證明此表格所填寫的資料均屬實及無誤，如有任何更改，本人將會立即通知香港舞蹈聯盟。I declare that the information provided herein is true and correct, and I will immediately inform Hong Kong Dance Alliance of any changes. 香港舞蹈聯盟保留更改場地編排之權利。Hong Kong Dance Alliance reserves the right to change arrangements. 本人充分了解其在本計劃的權利及責任，並參與由香港舞蹈聯盟為這計劃提供的所有舞蹈課、工作坊和排練，並於《起跳》演出新作。I declare that I fully understand my responsibilities to attend all classes