Name: Ma*Shuqa
Address: 15651 Camino Del Cerro

Application Diva Intensive Retreat

Diva Dancer Intensive Performance Styling Retreat

Friday – Monday, May 22-25, 2026

Ma*Shuqa Mira Murjan & Carl Sermon Photography

Our Studio: 15651 Camino Del Cerro, Los Gatos, CA USA 95032

I wish to enroll in the Diva Dancer Performance Styling Intensive Retreat, May 22 - 25, 2026 in Los Gatos, California

Enrollment limit: 6 students

Tuition:

Only $500.00 per dancer for the Diva Dancer Intensive Retreat

Credit card payment via Square invoice . or

Checks payable to: Reel Sound and Light Productions Check #______________

** Make a non-refundable deposit of $100.00 (deposit transferrable), payable by check or credit card with the application to receive the Early Bird price of only $400.00 for the Diva Dancer Intensive Retreat. The balance of $300 is to be paid in full by January 30, 2026.

After the January 30, 2026, balance due of $400 must be paid by May 1, 2026, to secure enrollment (payable by check, credit card, or Square.com Invoice).

Mail to: 15651 Camino Del Cerro, Los Gatos, CA 95032-3721 MaShuqaDancer@gmail.com

Application

Telephone: +1 408-356-9473

E-mail: MaShuqaDancer@Gmail.com

Address: 15651 Camino Del Cerro, Los Gatos CA 95032

Application for Diva Retreat

There was an error submitting your message. Please try again.

Thank you! We will get back to you as soon as possible.

Dance Student/Performer Liability Release Form

This release form must be completed and submitted with final tuition balance due on May 1, 2026.

Please click on the button to be transfered to the Liability form page.

Go To Liability Release Form

Diva Intensive Retreat Form

This form may be copy & pasted into e-mail

Dance Name ________________________________________

First Name ___________________________ Last Name _________________________

Street Address__________________________________

City_________________________________________State______ Zip__________

E-mail___________________________

Confirn E-mail______________________

Mobile______________________________ Land Line__________________

Please describe any allergies, food allergies, vegan, and/or health conditions

____________________________________________________________________

_____________________________________________________________________

____________________________________________________________________

Emergency Contact Info:

Name and Relation ____________________________________________

Street Address ___________________________

City __________________________________State_____Zip______

Mobile/Landline______________________________________

Application Diva Intensive Retreat

Application

We need your consent to load this map

Application for Diva Retreat

Dance Student/Performer Liability Release Form

This release form must be completed and submitted with final tuition balance due on May 1, 2026.

Diva Intensive Retreat Form

This form may be copy & pasted into e-mail

Privacy Settings

Select all services

Website Translator

Google Maps