Test Page Registration for Dance Camp North 2020 ***DRAFT***Contra Borealis Dancers annual Membership: We are simplifying the billing this year. Everyone still has to be a Member to attend, but the annual membership fee is now included directly in the price of the camp. The prices remain the same, so most campers will still pay the same amount– you/we just don't have to account for it separately. Please fill out a separate form for each individual over age 12. Children 12 and under go on the parent's form. Multiple forms can be paid together by checking a box at the end.* required entry First Name *As you want your camp button to read.Last Name *Email *Phone *Address *City *State *Zip *Privacy - (Final arrangement to be determined by Board meeting) We will publish a camp Roster, with first names the same as your camp nametag button. Which additional info may we show on the camp roster? We will not publish home addresses.Roster last nameRoster emailRoster phoneAnnouncements Would you like to receive email announcements for the Fairbanks dances, and occasional newsletters?Listserve, yesWaiver and Release of Liability I have read, understand and accept the terms of the Waiver and Release of Liability. ***EDITING NOTE, AN "ACKNOWLEDGED" BOX HAS BEEN TEMPORARILY REMOVED.--------------------------------------------- Children (if any) 12 and under --------------------------------------------------------------- Parent/Guardian I have read, understand, and accept the terms of the Waiver and Release of Liability on behalf of those listed below.YesChild 1 first name Child 1 last name Age 1 Child 2 first name Child 2 last name Age 2 Child 3 first name Child 3 last name Age 3 More than 3 children? If you have any additional children, add the same info for them here. Note that parents of children ages 10 and under are expected to participate in cooperative child care. Miscellaneous InfoCamp jobs and food Everyone will need to do 2 or 3 jobs or chores at Dance Camp. There are a few jobs we would like to have filled before Dance Camp starts. If you are willing to do any of the following, please check the appropriate box. You will be contacted before camp to confirm an actual job assignment. Other camp jobs will be available for signup when you arrive at Camp.Check any and all that apply I can provide housing for out of town guestsI am able to help with pre-camp preparations Sat. morningI am able to help do camp cleanup on Monday afternoon (finishing about 5 pm)I prefer to eat vegetarian foodI am allergic to the following food(s):Food allergies Comments, questions? The MoneyInstructions Please add up the amounts and either mail a check or use Paypal (credit cards accepted) as linked below. For regular mail, send your check payable to Contra Borealis Dancers (and completed registration form if using paper) to: Contra Borealis Dancers Dance Camp Registration P.O. Box 84084 Fairbanks, AK 99708 Remember: First come, first served! If more than 120 folks sign up for camp, the earliest postmarks or on-line payments will have priority. Bring some extra cash or your checkbook to camp for the silent auction (and bring something to auction!). The auction has always been a great success and raises money to keep camp costs down and for scholarships. If you have questions or special circumstances, please contact us at dcn@contraborealis.orgRegistration (Includes a 1 year Contra Borealis Dancers’ Membership). To qualify for the Early Bird rate your registration AND payment must be received or post marked by July 31. Under age 18 must be accompanied by an adult. PLEASE NOTE: Cancellation prior to Aug. 15, we keep $40. After that time, we are unable to offer refunds, but your registration can be transferred to someone else. Membership fees are not refundable in any case.Registration type *Adult: Early Bird $215, Late $260Young Adult (age 13-25): Early Bird $120, Late $155Babysitter: $100 (non-dancing, does not include Membership)Amount for registration *Enter $$ for the registration type selected.Number of children Children (age 6-12) $70 each, early bird; $105 each, regular (after July 31). [No Membership fee]. (Note, age 13 and over are Young-Adults: please start a new form for them.)Amount for children $ x number of children.Cabins Number of persons wanting beds.Amount for cabin beds x $10/bed for entire weekend.Total amount due for THIS form *Make a note of your total for when you go to the payment page.PaymentCombined payments If paying with campers registered on other forms, please check one:Single camper paid on this formMultiple campers paid on this formNo payment - will be paid on a different formWho combined with? Combined total Fill only if paying for multiple campers.Method of payment *Personal check mailedPayPalPaid on another camper's form VerificationPlease enter any two digits *This helps to thwart spam-generator botsThis box is for spam protection - <strong>please leave it blank</strong>:
