Burlington Jam Registration 2019
This event happens with a lot of love and support from everyone involved, including participants.
Thank you all for making the Burlington Jam so special.
Love,
Abbi, Amanda, Michelle, Hazel, and More
* Required
Today's Date
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
City
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Your answer
State/Province
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Your answer
By Registering for this Jam I agree to the following for myself and for any children under my guardianship under 18 years of age.
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I am willing to be video taped and or to have my picture taken during the jam. I understand that it might be shared with the larger dance community.
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Yes
No
Other:
Emergency Contact include a phone number, email and relationship.
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Your answer
Attendance, When are you coming
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Whole weekend - Early Bird by Aug 23rd $75 / Regular $100
Friday only - Starting at 5:30 pm Sliding Scale $10 - $30 / From 7:30 pm $5-$15.
Saturday only - Early Bird by Aug 23rd $50 / Regular $70
Saturday 1/2 Day - Lunch included $40
Saturday Evening only - From 7:30 pm - Sliding Scale $10 - $30
Sunday only - Early bird $25 / Regular $40
Other:
Payment - Registration is Complete after Payment is Received
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Go to PayPal and select 'Send Money to Friends and Family.' Then send the correct amount to this email:
contactimprovVermont@gmail.com
. If you would like to send a check, make checks payable to: Burlington Contact Jam and then Send checks to: Michelle Lefkowitz, 71 Park Street, Burlington, VT 05401, USA
Sent money thru Paypal (Paypal.com)
Sent a check in the mail
I am a guest artist
I am an organizer
Other:
Where are you Staying? Can you offer housing?
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Your answer
YAY!
We look forward to co-creating embodied community with you!
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