La asociación nacionaL de Grupos FoLkLóricos 2012 ... - ANGF

Name:_________________________________ Group Name/Director: _________________________________
Address: _______________________________ City: _____________________ State: ______ Zip: __________
Phone: __________________ Email Address: ___________________________ Birthdate: Mo: _____ Yr:_____
►Movement Class: T-shirt size; □ YOUTH □ ADULT □ XXL □ XL □ L □ M □ S
CLASS SELECTION
Number your choice of preference from 1 to 4 (Adult classes for ages 13+ years and above ONLY)
□ SONORA □
Bronco
DESARROLLO
Adults and youth 12 and under
Same schedule as adults (3 sessions)
□ CHIAPAS □ GUANAJUATO
Sones de Xichu/
Danza de Broncos
□
ESTADO DE MX.
Tierra Caliente/
Danza
□ Auditor
□ Desarrollo □Adult
Asociación Nacional de Grupos Folklóricos
Congreso XXXIX ~ Corpus Christi, Texas
June 30 - July 7, 2012
2012 CONFERENCE REGISTRATION
ONE form for each registrant and print clearly in black ink
□ MICHOACAN
Bailes y Danzas
VERACRUZ □
Huapangos y Alegrias de
Coyutla/Danza
Desarrollo: 2 yrs. dance experience required
Adult Class: 3 yrs. dance experience required
I agree to abide by the Conference Policies of ANGF and other codes of conduct . I agree to be responsible for my own well
being and waive all rights and claims for damages that I may have against ANGF and its instructors. I understand this is a
volunteer organization and that there are no paid employees. I also understand that ANGF is a membership organization that
only allows members to register for its Conference and that membership is a privilege that can be revoked at any time.
Name (PRINT):___________________________ Signature:_________________________ Date: ___________________
Parent, if under 18 (PRINT):__________________________ Signature:__________________________ Date:____________
Pay to the order of: ANGF
8083 Whitney Drive - Riverside, CA 92509
Fax: 951-360-5948
Revision 02/2012
01/01/2012
REGISTRATION
Membership required to attend ANGF Conference
Membership □ $10 (17 y/o -) □ $35 (18 y/o +) □ $25 (Board)
05/16/2012
LATE REGISTRATION
06/27/2012
ON-SITE REGISTRATION
□ $245 □ $270 □ $330
Guest/Chaperone □ $200 □ $210 □ $250
Banquet Includes Dinner and Pachanga □ $25
Parking Permit 8-days Parking Pass (American Bank Center) □ $30
Video Permit Classroom Video Days: Tues. Thurs. and Sat. □ $45
DVD Maestro Demonstration and Instruction □ $35
T-shirt (Chaperone and Guest ) Adult sizes:
□ XXL □ XL □ L □ M □ S
□ $20
Grand Total Due:→
Internal Use Only
$______
$______
$______
$______
$______
$______
$______
$______
$______
Payment Method:___________________________
Date: _______ ___________________________