place. â« Bank deposits / transfers should. â« Please email completed registration forms with proof of payment to kzn@
CHRISTIAN DANCE FELLOWSHIP OF SOUTH AFRICA KWAZULU NATAL DANCE CONFERENCE – PRAISE HIM IN DANCE 18-19 MAY 2018
REGISTRATION FORM Name & Surname : _________________________________________ Date of Birth : _________________________________________ Contact Number : _________________________________________ Email Address : _________________________________________ Church Affiliation : _________________________________________ Rev/Pastor/Leader : _________________________________________ Dance Leader : _________________________________________ Leader’s Contact Number: ______________________________________
Class Selection Friday : Adult Delegates Ballet Grade 3 R 150 Ballet Grade 4 R 150 Contemporary / Jazz Grade 3 Contemporary / Jazz Grade 4 Full Day R 500 Friday : All Delegates Children’s Hip Hop
R 80
Total Amount Due
Class Selection R 150 R 150
Saturday : Adult Delegates Expressive Dance OR Dance Technique (Choose one) Ribbons OR Flags, Swords & Shields ( Choose one ) Hip Hop Full Day
R 80 R 80 R 80 R 80 R 80 R 200
Saturday : Children Delegates Flags R 50 Dance Technique R 50 Ribbons R 50 Full Day R 100
R ____________
Total Amount Paid
R ____________
The Registration fees are NON-REFUNDABLE and are required ASAP to secure your place. Bank deposits / transfers should have the following Reference: KZN + your Name & Surname. Please email completed registration forms with proof of payment to
[email protected] Refreshments will be on sale. Please bring along your own lunch/food/snacks
BANKING DETAILS C.D.F.S.A. ABSA BANK - Newton Park Savings Acc No - 908 941 3114 Reference - KZN + name & surname
CONTACT DETAILS Provincial Coordinator: Lecia Hale Cell : 083 672 7715 Email:
[email protected] Website: www.cdfsa.co.za
