Newport Vintage Dance Week 2011 Registration Form

Please complete the following registration form and click submit. All items marked with a * must be completed. If you have any questions, please email us at Newport@vintagedancers.org.

Registrant Information:

* First Name (Registrant #1)

* Last Name (Registrant #1)

First Name (Registrant #2, if applicable)

Last Name (Registrant #2, if applicable)

* Name(s) as on nametag(s)

* Mailing Address

* City

* State/Province

* Zip/Postal code

Country

* Phone (day)

Phone (evening)

* Email

Please add me to CVD's email list

My information has changed since last year

* Registration Status: (select one option)

I am applying as a single

I am applying with a registration partner

Name of registration partner

* Accommodation Preference: (select one option)

Please assign me a roommate

I (we) will make a reservation at the Baypoint Inn & Conference Center

I would like to reserve a single room

I plan to room off campus

I have chosen a roommate (please indicate person's name below)

Name of Roommate (if applicable)

* Tuition: (select one option) Includes classes and events as detailed on web site.

$675 per person (if deposit paid by by 4/30/11)

$725 per person (after 4/30/11)

$350 per student (ages 18-24)

I am applying for a scholarship

* Tuition Total (for all registrants)

Room and Board: (select one option, or leave blank if you do not wish to participate in on campus room and board). 6 nights, includes all meals from Saturday dinner through Friday breakfast.

We cannot guarantee that all preferences will be available. We will contact you if your preference is unavailable.

Bayside Dormitory: Two twin beds per room in apartment style accommodation (all prices are per person)

$435 Double Room (in a 2 or 3 bedroom apartment)

$555 Two Person Suite (in a 1 bedroom apartment)

$715 Double Room as a Single (in a 2 or 3 bedroom apartment)

Baypoint Inn & Conference Center: Two double beds per room in hotel style accommodation. (all prices are per person). Make room reservations directly with the hotel by calling 401-683-3600 x9 before May 31.

$355 Baypoint Inn Double (double occupancy)

$655 Baypoint Inn Double (single occupancy)

Meals for Off Campus Lodgers: A meal plan only option is available for those opting to stay off campus but wishing to eat in the cafeteria during the week. The standard meal plan includes breakfast, lunch, and dinner daily, beginning with dinner on Saturday through lunch on Thursday. Arrangements can also be made to customize your meal plan to include only certain meals and will be priced based on your individual requirements.

$160 per person for standard meal plan

Please contact me about creating a customized meal plan

* Meals and Lodging Total (for all registrants)

Post-Conference Options:

I (we) would like to sign up for late stay on Friday, August 5 (checkout August 6 at 11:00AM). Prices are per person and include lunch and dinner Friday and breakfast Saturday.

$75 Double room

$95 Two Person Suite

$125 Double as a Single

Post-Conference Total (for all registrants)

Donations

I would like to make a tax deductible contribution to the scholarship fund

I would like to make an unrestricted gift

Donation Amount

* Total Due (please add up the tuition, lodging, and other options for all registrants)

Payment and Deposits

A deposit of $250 per person, fully refundable until June 30, 2011, is required and may be paid by check or credit card. The deposit must be received by April 30, 2011 to receive the discount rate of $675 per person for tuition. After 4/30 the tuition is $725 per person.

Please be sure that you have provided an email address that you check regularly, as we will send you a confirmation within a few days of receiving your registration.

If you would like to pay by credit card, we will send you an invoice within a few days of receiving your registration. Invoices will be sent via PayPal, but please note that you do not need to have a PayPal account in order to pay by credit card.

* Payment Method

I will be mailing a check or money order

I will be using a credit card, please send an invoice

Please make checks payable to "CVD." To expedite processing, we request that payment be sent directly to our treasurer (this is not the same address as in previous years):
Newport Vintage Dance Week
c/o Brian Carlson, Treasurer
4 Grove Terrace
Leominster, MA 01453

* Indicates Response Required


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Newport Vintage Dance Week
99 Malvern Street
Melrose, MA 02176

newport@vintagedancers.org