Please Print
Name of Artist /Group or Ministry Team_______________________________________
(Place name and ages of members on back of this sheet)
Age______
Phone____________home_____________cell________________work
Address____________________________________________________
City___________________State_______________Zip_____
Church Affliation___________________________________
Address____________________________________________
City __________________State ______________Zip______
Email ____________________________________________
All Inclusive Atlanta Trip: _______$350 including hotel
Transportation not included: _________$295 including hotel,
meals, and workshops
Workshops/Meals Only__________________$200
Workshops Only_______________________$125
Note: Add additional fee for single occupant $169.00 if
you prefer privacy
Pastor/Leader or Mentor______________________________
Dance
Experience/Special
Training/Gifts____________________________________________________________
ParentŐs consent_______________________________ (under 18
yrs old)
Signature___________________________Date______________
International Fit Dance
has sole ownership and all rights to all video coverage, and dance programs
that ministries participate in while taping for International Fit Dance. It may
be seen or used as footage to advertise for promotions, marketing, events that
are locally as well as International.
Make Payable to: Cynthia
Thomas
No checks/money orders
only
*Church checks accepted
only
Inclusive Package Deposit for Conference_________________
balance due_______________________
Package without travel for
the Conference $295 ______ deposit___________balance due____________
Package /meal/ workshops
for the Conference $200____________deposit______balance due________
Workshops Only$125-Pay in Full__________________