9TH SEA JAM - FRI 26 TO SUN 28 FEB 2010

years of dancing Lindy Hop
Please indicate the number of years you have been dancing Lindy Hop - While this is indicative of your class level, the teachers reserve the right to place you in a different class level during the camp.

Camp Fees:
Includes Dinner on 27 & 28 Feb 2010, admission to all classes, parties and performances, including one ticket and transportation to and from Sat 27 Feb "1938" concert at Victoria Junior College.
Excludes accommodation.

Early Bird Special (Payment received on or before Sun 10 Jan 2010)
S$335 Camp Fee (Member)
S$380 Camp Fee (NonMember)

Regular (Payment received after Sun 10 Jan 2010)
S$360 Camp Fee (Member)
S$410 Camp Fee (NonMember)

Evenings only:

Fri 26 Feb 2010
S$20 (Member) / S$25 (NonMember)
Includes: Social dance with teacher introductions and performances. Payable at the door.

Sat 27 Feb 2010
S$50 (Members) / S$60 (NonMembers)
Includes:
- 1 x Ticket to "1938" concert at Victoria Junior College.
- Transport to and from Hangout @ Mt Emily to “1938” concert at Victoria Junior College.
- Buffet dinner at the concert.

Sun 28 Feb 2010
S$40 (Members) / S$50 (NonMembers)
Includes:
- Buffet Dinner.
- Dance!

Day Passes:
Either Saturday or Sunday, includes: All classes, breakfast, lunch, dinner and social dance with performances.
S$200 (Member)
S$245 (NonMember)

Please indicate which day:
Sat 27 Feb 2010 Day Pass
Sun 28 Feb 2010 Day Pass

Membership

If you are member, please indicate your membership no:

If you are not a member and wish to join, please indicate:
S$50 Adult Membership per annum
S$25 Students / NSF Membership per annum (a valid student ID has to be presented)

Payment Mode:

PayPal

Bank Transfer

Cheque, by mail
- After submitting this registration form online, please print out the summary and attach it to your cheque.

Make payment at the studio personally
- Not applicable to overseas registrants

AGREEMENT AND WAIVER
In consideration of the dance lessons provided to the student under this agreement by Jitterbugs Swingapore, and in recognition of the physically strenuous nature of dancing, The student hereby knowingly, freely, and voluntarily waives any right or cause of action of any kind whatsoever arising as a result of such activities from which any liability may or could accrue to Jitterbugs Swingapore or its agents.

The student understands that the obligation to pay all fees described in the brochure / application is unconditional. No fees, paid or outstanding, is refunded in whole or in part in the event of any absence, withdrawal, or dismissal of the student. The student agrees to pay all incidental expenses as may be incurred by the student which include, but are not limited to, costumes, dancewear, footwear and similar items.

Please note that any changes to course registration(s) after payment is subject to the sole discretion of Jitterbugs Swingapore and to an administrative charge. The student further agrees to pay any reasonable costs associated with Jitterbugs Swingapore's effort to collect funds due it under the terms of this agreement for late payment.

The student hereby gives Jitterbugs Swingapore permission to photograph and/or video record the student for use in brochures, websites, and any other advertising media. The student understands that said photographs and video will be copyrighted in Jitterbugs Swingapore's name.

I agree to the Agreement and Waiver Yes No