Printable Registration Form 2008  Workshop (For questions: email jubilateschool@nc.rr.com)

 Make checks and send Registration Form to: Jubilate School, 2908 Bells Pointe Court, Apex, N.C. 27539

If your group wants to minister in the Friday night concert please contact Jubilate School by February 29.

There is no additional fee for concert participation. Admission to Concert is free and open to the public.

          Sat. Reg. Fee $45 (late fee 2/29 or after - $55) Fri. and Sat. $55 (late - $65) Group rate for dance teams of 10 or more - $40 each member

Sat. Lunch -add $5 (Includes chips, cookie)  Lunch choices Turkey ____ Ham ____  Amount enclosed________

Name: _______________________________________________Age____Phone: _______________Cell: ________________Email: ___________________

Street Address: __________________________________________    City:__________________ State: ____  Zip: _____________

Dance experience: If you check Intermediate or Advance Track you MUST list dance experience! (Style, Years and Number of weekly classes)

__________________________________________________________________________________________________________________________

Participant Concert: Name _____________________________Dance ________________________Number of Dancers________(Piece max  5 minutes)

Please read explanations of the Track descriptions.

Number of years experience refers to TECHNICAL training in Ballet or Modern. The sessions are scheduled so that every guest teacher instructs a class in every Track Level.   Beginner (0-2 yrs), Intermediate (4+ yrs), Advance (7+ yrs) Children (ages 8-12), Leader (Dance team, company, school leader. Please check a level track as well as the Leader track.)

Please choose your Track:  B      I     Adv      C           L (Please check level with Leader Track)

Early registration is advised as some classes will fill up. When we receive your registration you name will be entered on the roster and a confirmation of your schedule will be sent back to you for you to bring to the conference. If you must cancel, please email or call Jubilate so someone else can fill your space. Total enrollment for the conference is limited to 165. Jubilate reserves the right to cancel any electives which do not have a total of at least 10 participants enrolled. 

Instructions: Check a class for each session in the Table below according to your TRACK or check a class under ALL. (A track code of "A" (All) means suitable for all tracks.)

Saturday Sessions. 

From 5:15 – 6:30 Corporate and Spirit-led Worship  (We expect to have Stefan Youngblood &Edenton St. UMC praise band!)

Early Bird Friday Sessions

(Note: There is an additional fee listed on page 1 for Friday Sessions.)

Check your classes according to your TRACK or check classes under ALL.

Jubilate School Insurance and Liability Waiver

Worship Dance Workshop ~March 7-8 2008

 All parents or adult participants must sign this form. Please bring this form with you when you check in at the conference.  Thank you.

___________________________________________        _________________________________________________

Parent, Legal Guardian, or Adult Participant                                Full Name of Child

_________________________________________________________________________________________________

Home Address (Street or P.O. Box, City, State, Zip Code)

___________________            _____________________      _______________________________________________

Home Phone                             Work Phone                              Insurance Carrier

_______________________              _________________________

Policy Number                                      Insurance Phone Number

I give permission for my minor child (or myself) to take part in all activities of the Worship Dance Workshop being held at Edenton Street United Methodist Church.

I hereby release Jubilate School of the Arts and Edenton Street UMC Church, its employees, volunteers, and board members from any and all liability, cost, or expense associated with an injury my child (or me) may sustain while participating in this workshop.

In event that the person(s) listed below cannot be contacted for the health and well being of my child, (or myself) I hereby authorize the Director or Instructor of the Worship Dance workshop to authorize whatever medical treatment that might be necessary in an emergency situation.  I understand that I and my medical insurance carrier are financially responsible for any medical treatment extended to my child, (or myself) and that Jubilate School of the Arts and/or Edenton Street UMC, its agents or representatives, cannot be held accountable for such medical treatment.

I give permission to use any photo or video of myself or my child for promotional and/or ministry purposes.

_________________________________________________  Signature

Emergency Contacts:

____________________________________________________              _______________________

Name                                                                                                                                      Relationship

______________________________________________________  _______________          ________________

Address (Street or P.O. Box, City, State, Zip Code)                                       Home Phone                         Cell Phone

_____________________________________________________              _______________________

Name                                                                                                                                      Relationship

______________________________________________________  _______________          ________________

Address (Street or P.O. Box, City, State, Zip Code                                         Home Phone                         Cell Phone