Name : .
Address: .
City:
State:
Email address
Zip Code
Telephone: Main #:
Alternative #:
Check ALL boxes that apply to you.
Dance Experience
Concert Participants Leader - Apply for concert participation on separate Form. See Concert Application page.
Leader if applicable
Group or Church   Name (If  applicable)
Fees and Payment Options     

                                                     Before February 20                                 AFTER February 20
                                                                               
                                                                       

Group Rate: Fri & Sat $60/person  Sat only $42/person- 10 or more members of a dance team or dance co. or studio.                             
 





Groups MUST fill out and submit A form for each participant. (Fill out leader's name and group name as indicated above.) However, we MUST receive fees for the entire group in ONE payment.
Choose the sessions you are interested in taking from the list below.
.
Students attending Friday and Saturday - Choose up to 8 sessions including 1 technique. Consider choosing at least
1 cultural worship dance session other than your own culture.

Students attending Saturday only - Choose up to 5 sessions including 1 techinique.  Consider choosing at least
1 cultural worship dance other than your own culture.

( 0-1 years of modern or ballet)
(7+ years of modern or ballet)
General Schedule
  Friday: Check-In -9:30-10:30 a.m.  Session 1 - 10:30-11:45 a.m.  Lunch - 11:45 a.m.-12:45 p.m.  Sessions 2&3 - 12:45-3:30 p.m. 
    Friday Dinner (on own) & Concert Run-Thru - 3:30 - 6:00 p.m.    Friday Worship Dance Concert - 6:45 p.m.-9:00 p.m.
  Saturday: Check-In - 8:00-8:15    Devotions & General Session - 8:15-9:30 a.m    Sessions 1&2 - 9:40 a.m.-12:00
            Lunch - 12:00 p.m.-1:00 p.m.    Sessions 3-5 - 1:00 p.m.-4:50 p.m.
            Corporate International Worship (Open to the Public) - 5:15 - 6:45 p.m.
(4-6 years of modern or ballet)
(2-3 years of modern or ballet)
Payment Total
Option One:- Mail-in
   After you have filled out the registration form above and clicked "Submit" mail your payment to:
                   Jubilate Worship Dance Conference, 2908 Bells Pointe Court, Apex, NC 27539 with a completed liability form (see link for Liability Form just below.)
If ordering lunch, be sure to include $6 for each lunch.  To assure a paper record of your registration, please include a completed liability form.  Go to Liability Form page. 
Submit button below.

Payment Options
Option Two - Pay Online with PayPal
(Fees include Paypal handling fees)
(Bring your completed Liability Form to the conference)
Fri. & Sat. $67.20
Fri. & Sat.w/lunch $85.70
Sat w/lunch $55.90
Sat. only $49.70
Age
Participating in Concert?
Online Registration Form
Jubilate Worship Dance Conference
March 9 & 10, 2012
Registration Instructions

1. Fill out the following registration form.  Choose sessions you are interested in.  You will officially sign up for classes when you arrive at the conference. 

2. Choose payment option and click submit.  Your form is emailed to Jubilate.   If you are paying by check, you simply mail the check to the address provided.

Part of a group receiving the
Group Discount?
Technique Classes
Teaching Sessions
Worship Dance Classes
Cultural Dances
(Sessions include a talk about Christian missions work for that particular culture.)
Worship Choreography
  JWDC reserves the right to cancel classes which do not have sufficient number of  registrants.  Early      Registration is suggested to ensure your choices are actually offered this year.
Bread -
Click Submit Button
Bread -
Friday Lunch
Saturday Lunch.
Chips & Cookie Included
(Jean Mabry)
(Jean Mabry)
Check Payment Option & Fill in Payment Total
Beginner: B
Beginner Intermediate: B-I
Intermediate: Int
Advance: ADV
Adult 18 years & up 
Teen 12-17 years
Youth 10-11 years
Leader
Saturday only $48
Friday & Saturday $65
Saturday only $60
Friday & Saturday $75
Friday Lunch only add $6 (Check Below)
Ham/Cheese
Turkey/Cheese
Wrap
Veggie
Mini-Sub
Creating Worship Choreography Int-Adv
Ballet
Yes
No
Praise Garments (Regina)
Qualities of a Great  Leader
Modern
Dance in Missions (Lindy)
Dancing for the World (Ronya)
Basic Dance
Dancing into your Healing (Lindy)
Moving Prayers Meditations (Denise)
Dancing Prophets (Ronya)
Streamers/Tambourines (Pat)
Flag Design (Ellen)
Flags/Silks -Basic
Silks -Adv
Worship Repertoire (A dance)
Creating Worship Choreography - Basic
HIp Hop
Clogging
West African
Indian (India)
Chinese
Hawaiian
Native American
HIspanic
Israeli (Messianic) (Linda)
Roma Gypsies
European Folk
Irish
Fri & Sat Lunch add $12 (Check Below)
Saturday Lunch only add $6 (Check Below)
Turkey/Cheese
Ham/Cheese
Veggie
Wrap
Mini-Sub
Silk dyeing (Jean Mabry)
Mail In #1Credit Card #2