Cumberland Dance Week 2019 Registration
Register here for CDW 2019, from June 30 to July 5.
Questions or problems? E-mail cumberlanddanceweek@gmail.com or call Katie Zukof at 812-624-1104.
What is your family name?
Your answer
Adult #1 First & Last Name
Your answer
Adult #1 Gender (for housing purposes)
Adult #1 Age (for housing purposes)
Your answer
Adult #2 First & Last Name
Your answer
Adult #2 Gender (for housing purposes)
Adult #2 Age (for housing purposes)
Your answer
Adult #3 First & Last Name
Your answer
Adult #3 Gender (for housing purposes)
Adult #3 Age (for housing purposes)
Your answer
Adult #4 First & Last Name
Your answer
Adult #4 Gender (for housing purposes)
Adult #4 Age (for housing purposes)
Your answer
Child/Teen #1 First & Last Name
Your answer
Age (on June 30, 2019)
Your answer
Gender
Child/Teen #2 First & Last Name
Your answer
Age (on June 30, 2019)
Your answer
Gender
Child/Teen #3 First & Last Name
Your answer
Age (on June 30, 2019)
Your answer
Gender
Child/Teen #4 First & Last Name
Your answer
Age (on June 30, 2019)
Your answer
Gender
Street Address
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
Phone number(s)
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E-mail(s)
Your answer
How many vegetarians?
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Age 12 and over
Age 11 and under
Any other dietary restrictions? (We cannot guarantee meal accommodation.)
Your answer
List any housing / roommate preferences. (Most groups will be housed with another camper / family.)
Your answer
Do you prefer to get up early or stay up late?
If you are a party of 4 or fewer, do you prefer a single-gender room?
Would you like to request a private room for your party? Available first-come, first-served while space permits. Prices are for the group for the full week, additional to your registration total. Nighttime cabin monitoring may not be available for some private rooms.
Will you be traveling by airplane? We may or may not be able to offer a shuttle from the Nashville Airport but will contact you if you are interested.
List any adults applying for work exchange (2 hours of helping per day, $125 discount). May be paired with set-up & take down.
Your answer
List any adults applying for set-up & take-down (arrive early on July 1, leave late July 6, $125 discount). May be paired with work exchange.
Your answer
List any teens applying for work exchange (1.5 hours of helping per day or set-up & take-down, $70 discount).
Your answer
List any campers applying for scholarships. These are available through the Lloyd Shaw Foundation and Cumberland Dance Week and in most cases cover between 60% and 100% of the full cost of camp. Most scholarships require work exchange and/or set-up and take-down. See https://sites.google.com/a/cumberlanddanceweek.org/camp/register/scholarships for details.
Your answer
Please select the number of campers in each fee category.
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Adults ($620)
Adults with work exchange or set-up/take-down ($495)
Adults with work exchange AND set-up/take-down ($370)
Teens ($395)
Teens with work exchange ($325)
Children 2 -12 ($295)
Children 0 - 1 ($90)
If you are a member of the Lloyd Shaw Foundation, would you like to take your discount? (If you are not a member, you can join in the next field.)
Would you like to support Cumberland by joining the Lloyd Shaw Foundation, which is the parent organization behind Cumberland Dance Week and Terpsichore's Holiday? The Foundation supports our camp financially through scholarships and direct grants and ensures our longevity. Read more at lloydshaw.org. Your membership fee will be added to your CDW 2019 tuition bill.
Would you like to add a donation to the CDW scholarship fund? If so, write how much.
Your answer
How would you like to pay for your registration?
Pets are not permitted at NaCoMe Camp & Conference Center unless they are service animals. NaCoMe and Cumberland Dance Week prohibit emotional support animals in addition to pets of all kinds. Will you be bringing a service animal with you to camp?
How did you first hear about Cumberland Dance Week?
Your answer
Any other requests or comments?
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