Cuba Caribe & Dance Mission Theater present:

CUBA CAMP 2014 August 29 – September 1, 2014

10501 Dos Rios Road Dos Rios, California 95429

Enjoy four days of Cuban dance and music. Adult students have the opportunity to take folkloric, popular, and modern dance, as well as song and percussion classes with amazing master teachers, including Silfredo La O, Kati Hernandez, Jose "Cheo" Rojas, Jose Alfredo Carrion, Ramon Ramos Alayo, Sandy Perez, and more!

Dance Brigade’s DANCE MISSION

THEATER

Program and lodging information: dancemission.com or dancemissiontheater@yahoo.com

Each participant must fill out a registration form.

Full Name: __________________________________________________________________

Address: ____________________________________________________________________

City: _______________________________ State: _______ Zip/Postal Code: _____________

Telephone: (______)_______________ Email: ______________________________________

1. Workshop Fees (All fees listed in U.S. Funds.)

PLEASE CHECK APPROPRIATE REGISTRATION FEE: BEFORE/ON JULY 1 AFTER JULY 1 Includes all meals & on-site camping* $275 $300 Sleeping/eating off-site $250 $250 Youth under 13 years** $150 $150 Adults not taking any classes** $200 $200 $_______ enclosed *If you would like to eat with us but sleep off-site, check this option. **Classes are for adults and CubaCamp does not provide childcare, but families are welcome. 2. Sleeping on or off- site? On-site Off-site Number of people in party: ___________ 3. Check in: Friday 12:00-3:00pm // Check out: by Monday 3:00pm

What time do you plan on ARRIVING? Day: _________ Time: __________ LEAVING? Day: _________ Time: __________

4. How are you getting to camp? _________________________________

IF YOU ARE TAKING BUS, PLEASE EMAIL US AT DANCEMISSIONTHEATER@YAHOO.COM WITH YOUR ARRIVAL TIME INTO WILLITS.

If driving, does your car have 4-wheel drive (recommended, but not required) ? Yes No If driving, would you be able to give another CubaCamp participant a ride? Yes No If carpooling, who are you carpooling with? _____________________________________________

5. Vegetarian? Yes No Food Allergies: ____________________________________________

6. How did you hear about camp? 7. What is your dance/drum experience? (All levels are welcome) 8. Anything else we should know? (Please list any ADA Special Needs)

*MORE INFO ON OTHER SIDE!

Please make check payable to: Dance Brigade Mail registration form with payment to: Dance Mission Attn: CubaCamp 3316 24th Street San Francisco, CA 94110 If paying with a credit card over the phone, please note the additional $10.00 fee. Phone payments may be made by calling the number below. Leave a message if there is no answer. Please be prepared to answer all of the questions on this form. Phone: (415) 826-4441 There are some Work Exchange opportunities. Please email dancemissiontheater@yahoo.com if interested and we will send you an application. Cancellation/Refund policy: If you have to withdraw from camp for any reason before July 15, you will be refunded 100% of your tuition minus a $25 registration fee. If you withdraw from camp after July 15 but before August 15 you will be refunded 50% of your tuition minus a $25 registration fee. Tuition cannot be refunded after August 15. CubaCamp involves physical activity. You must be in good health to attend camp. By signing up for camp you release both CubaCaribe and Dance Mission of any liability, including but not limited to any injury that might occur on the property and/or in class. Please note that there is no lifeguard on the river and that participants are swimming at their own risk. Dos Rios is located in the hills of Northern California and participants must be aware and respectful of poison oak, rattle snakes (rarely seen), bees and other wildlife that they might encounter in this country setting. We are experiencing extreme drought and high fire danger conditions, so we ask participants to practice mindful water conservation and respect our no open flame policy. Due to odor sensitivities, please do not use strong oils, cologne or perfume while at camp. Please see the FAQs sheet for more information on what to bring, expect etc.