Fraser Valley Highland Dancing Association 2014/15 Form A: Membership Application & Fundraising
Transcription
Fraser Valley Highland Dancing Association 2014/15 Form A: Membership Application & Fundraising
Fraser Valley Highland Dancing Association 2014/15 Form A: Membership Application FVHDA Family Membership ($30.00) & Fundraising ($20.00) - Total: $50.00 *New FVHDA families joining in January or February are eligible for a discount please see the information package for details. I/we hereby make application for membership and volunteering in the Fraser Valley Highland Dancing Association for 2014/15 ending August 31, 2015. Membership will not be accepted without the completed volunteer form and cheque returned. I have read and understand the rules and regulations on this form and wish to be entered in the events listed. I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims I have for damages against the Fraser Valley Highland Dancing Association, their agents or representatives, successors and assignees, for any and all injuries or illness suffered by the dancer, at or through FVHDA events. I acknowledge the FVHDA privacy policy and accept the volunteer commitment requirement. Date ________________! Signature ______________________________ (Parent / Guardian or dancer 18 or over) Dancer Information Name of Parent / guardian: Name of Dancers (same family) Category Date of Birth (D/M/Y) 1 2 3 Address: Phone: E-mail: Photos: I give FVHDA authorization to publish photos that include my children. ______ Yes ______ No ! ______________________________________ (signature) I am a new parent to highland dance. I would like the FVHDA to send me a competition orientation package. ____ Yes ____ No For internal use: Cheque amount:__________ Cheque #: __________ date received _______________ Name ______________________________________________________________________ Fraser Valley Highland Dancing Association 2014/15 Form B: Volunteer Commitment Form •FVHDA membership requires a minimum of 3 volunteer hours per dancer regardless of age or level of dance. •Fill in one volunteer commitment form and enclose a SEPARATE volunteer commitment cheque of $75.00 for EACH dancer. •Cheques are made payable to Fraser Valley Highland Dancing Association (FVHDA). •Cheques must be post dated for April 30th, 2015. •Cheques will be returned to members, at the competition, upon completion of their volunteer service. Cheques will be cashed after the February competition for members who have not fulfilled their volunteer service. Dancer & Volunteer Information Dancer Name Dancer Age Dancer Category Volunteer Name Phone Email I am available to help on: Volunteer Positions: Nov. 22____ AM/PM Jan. 10 ____ AM/PM Feb. 28 ___AM/PM Please number from 1 to 10 your order of job preference. Door Take admission fee and sell programs. 2-3 hrs Numbers Distribute competitor numbers. Complete temporary cards and forms. 1hr Platform Signs Change stage signs during the competition. 3hrs Concession Sell food and beverages. 2.5 hrs Line Up Arrange dancers in correct order and assist them to platform. 3hrs Awards Distribute medals, stamp pre-premier cards and fill in temporary cards. 30 mins. Runner Take the judgeʼs scoring sheets after the end of each set to the scoring area. 3hrs Scoring Enter judgeʼs scores into the scrutineer scoring computer program. Competition Setup Setting up and taking down tables, signs, cleaning, etc. or Cleanup: 3hrs 1 hr Please check off if you have experience with:" Line-up ____ would like to learn ____ Scoring ____ would like to learn ____ I am unable to fulfill my volunteer commitment for the dancer(s) listed above. Please cash my volunteer cheque(s). _________________________________(signature) For internal use only: Date contacted_________________________ Date confirmed:_________________________ Notes:_______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Fraser Valley Highland Dancing Association 2014/15 Form C1: Full Season Registration Form Dancer #1 Information: Dancer Name:____________________________________ Birth date: ______/______/______ (m/d/y) Full Season Dancer Package Fees Dancer #1 Pre-Premier (4 dances / competition) Age as of : Nov 22th _____ Jan 10th _____ Feb 28th_____ Premier!15 & under Address:________________________________________ (4 dances / competition) City: ___________________________________________ Premier 16 & over Postal Code : _____________________________ Phone: _________________________________________ Email: _________________________________________ Scotdance BC / FUSTA #:___________________________ Teacher:__________________________________ Category: (4 dances / competition) $66.00 $66.00 $77.00 Scotdance BC fee $ 3.00 Scotdance Canada fee $ 3.00 Dancer #1 registration fees $ __________________________________ If Intermediate - date when you move to Premier: _______ Full Season Dancer Package Fees Dancer #2 (back of your dance card) Pre-Premier (4 dances / competition) Dancer #2 Information: Dancer Name:____________________________________ Birth date: ______/______/______ (m/d/y) Age as of : Nov 22th _____ Jan 10th _____ Feb 28th_____ Address:________________________________________ Premier!15 & under (4 dances / competition) Premier 16 & over (4 dances / competition) $66.00 $66.00 $77.00 Scotdance BC fee $ 3.00 Scotdance Canada fee $ 3.00 Dancer #2 registration fees $ Dancer #1 registration fees $ Dancer #2 registration fees $ Total fees $ City: ___________________________________________ Postal Code : __________________________ Phone: _________________________________________ Email: _________________________________________ Scotdance BC / FUSTA #:___________________________ Teacher:_________________________________________ Category: _______________________________ If Intermediate - date when you move to Premier: _______ (back of your dance card) Questions/Concerns/Category Changes: Carla Kelly [email protected] Checklist: ❑ ❑ ❑ Form A: Membership Registration & cheque Form B: Volunteer form & $75.00 cheque for each dancer. Form C: Competition Registration & cheque. Cheques are payable in Canadian Funds to: FVHDA Mail to: ! Carla Kelly 9029 Lyra Place Burnaby, BC V3J 1A9 Fraser Valley Highland Dancing Association 2014/15 Form C2: Individual Competition Registration Form Dancer Information: please complete one form for EACH dancer Dancer Name:! ______________________________________________________________ Birth date: ! ______/______/______ (m/d/y) Age as of ! November 22rd ______! January 10th ______! February 28nd______ Address:! ______________________________________________________________ City:! ! ______________________________________________________________ Postal Code: ! ___________________________________________ Phone:! ! ______________________________________________________________ Email:! ! ______________________________________________________________ Scotdance BC / FUSTA #:! ________________________________ Teacher:! ______________________________________________________________ Category: ! ______________________________________________________________ If Intermediate ! date when you move to Premier: __________________________ Event Date #ʼs for dances entered as per dance schedule November 22nd Mailing deadline Oct. 31st , 2014 January 10th Mailing deadline Dec. 20th, 2014 February 28nd Mailing deadline February 7th, 2015 Pre-premier ______ dances x $6.00 $ Premier 15 & under ______ dances x $6.00 $ Premier 16 & over ______ dances x $7.00 $ Scotdance BC fee + Scotdance Canada fee $2.00 $ 2.00 Pre-premier ______ dances x $6.00 $ Premier 15 & under ______ dances x $6.00 $ Premier 16 & over ______ dances x $7.00 $ Scotdance BC fee + Scotdance Canada fee $2.00 $ 2.00 Pre-premier ______ dances x $6.00 $ Premier 15 & under ______ dances x $6.00 $ Premier 16 & over ______ dances x $7.00 $ Scotdance BC fee + Scotdance Canada fee $2.00 Total registration fees for dancer #1 : Checklist: ❑ ❑ ❑ Form A: Membership Registration & cheque Form B: Volunteer form & $75.00 cheque for each dancer. Form C: Competition Registration & cheque. Questions/Concerns/Category Changes: Carla Kelly [email protected] $ 2.00 $ Cheques are payable in Canadian Funds to: FVHDA Mail to: ! Carla Kelly 9029 Lyra Place Burnaby, BC V3J 1A9