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Name _________________________________________ Dance Name ____________________________________ Address ____________________________________ City/State/Zip ________________________________________ Phone (w/ area code) ________________________ Is this: o cell phone o home phone o work phone Email address _________________________________________________________ Which categories best describe your interests? (check all that apply) o Dancer o Teacher o Choreographer o Musician o Other ___________________ o Oriental style o Ethnic/folkloric dance o ATS o Other ____________________ Do you consider yourself: o Beginner o Intermediate o Advanced o Professional o Member of dance troupe; Name of Troupe ______________________________ FEES (check boxes for what you are registering) **Group Discount for entire Symposium (10% discount) o $375 To qualify, register 6 or more by May 1, 2007 with $100 deposit -- remainder due by June 1, 2007. “Early bird” discount ($100 deposit by May 1, remainder by June 1) o $420 Pre-Registration (no deposit, full payment by June 1) o $455 On-site registration (payment at the door or after June 1) o $475 Cancellation fee on full Symposium registration: $100 Single Day Fees ( includes evening tickets for day) -- NO REFUNDS for single day cancellations Thursday sessions are free, except for evening hafla concert. Friday, June 8 (on/before June 1, 2007) o $175 (after June 1) o $190 Saturday, June 9 (on/before June 1, 2007) o $190 (after June 1) o $205 (includes lunch) Sunday, June 10 (on/before June 1, 2007) o $125 (after June 1) o $140 Individual Concert Tickets -- Note: concert tickets included in day prices Thursday, June 8 Opening Dance Concert o $25 # tickets:_____ Total $: ______ Friday, June 9 Reception and Lectures o $30 # tickets:_____ Total $: ______ Saturday, June 10 Faculty Dance Concert o $35 # tickets:_____ Total $: ______ Dance Session Choices CLASS SIZES WILL BE LIMITED -- register early for best selection! Fri, June 8, AM Sessions o Joe Paul Williams (ME Choreog w/ Delsarte) OR o Shakira (Safe Zar) Fri, June 8, PM Sessions o Amel Tafsout (Berber dance) OR o Habiba (Andalusian dance) Sat, June 9, AM Sessions o Morocco (Cane Dance) OR o Qizlarhon (Uzbek Dance) Sat, June 9, AM Sessions o Amel Tafsout (Nayla/Ouled Nayl) OR o Habiba (Balass/Fellahin dance) Sun, June 10, PM Sessions o Morocco (Guedra and Shikhatt) OR o Anahid Sofian (Turkish Oriental) Room and Meals: pre-registration encouraged! Air conditioned dorm rooms. Single room per person per night $34 o Thurs night o Friday night o Sat night Shared double room* per person per night $30 o Thurs night o Friday night o Sat night *Roommate’s Name: ____________________________ Looking for a roommate? Check here o Meal Tickets (dorm cafeteria) -- pre-registration encouraged, but meal tickets also available on-site. Breakfast $ 7 Lunch $10 Dinner $15 o Meals for all 3 days (total $86) o Fri Breakfast o Fri Lunch o Fri Dinner o Sat Breakfast o Sat Dinner Saturday lunch included in fees. o Sun Breakfast o Sun Lunch Sorry, no specific food preferences or specialty diets. Vegetarian options available.
Total for Symposium Fee: $ _____ circle one: deposit full symposium single day Total for additional concert tickets: $ _____ Total for Room: $ _____ Total for Meal tickets: $ _____ Method of Payment (for valid registration, payment must accompany form) MAIL registration to: NL Barrett (Su’ad), PO Box 465, Hebron, CT 06248 o Check or Money order (US dollars only) - Payable to Nancy L. Barrett o VISA o MasterCard o Discover Card Number _______________________________________ Expiration Date (mm/yy) _____/______ Today’s date (mm/dd/yyyy) _____/_____/______ Print Name (as it appears on card) _________________________________ Signature __________________________________________________ |
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2007 Symposium Registration Complete and Mail |
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NOTE: Absolutely no refunds unless event is cancelled by the sponsors.
Questions? Contact Su’ad at nancysuad@rcn.com or 860-228-6933 (before 9:30 PM Eastern time) |
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Follow the links for: · Thurs Hafla - attendees perform! · Academic Sessions · Culture/Costume Display · Accommodations/Meals/Travel Info · Vending/Advertising |