Registration

INSTRUCTIONS
• Complete ALL sections and check over your form before submitting
• Please note that your registration will NOT be completed until we receive proof of payment.
• *REQUIRED FIELDS

SECTION A - DELEGATE DETAILS Personal Information:
*Title:: Mr./Miss/Ms/Dr/Prof/Other
*Full Name:
Organisation/Affiliation:
Position:
*Preferred Mailing Address:
*Telephone:		( ) - ext
Fax:		( ) - ext
*Email:
Special Requirements (dietary/access):
Emergency Contact:
Full Name:
Telephone:		( ) - ext
Email:
SECTION B - REGISTRATION
Please indicate which workshop(s) you will be attending:		Please tick if you wish to attend any of the following:
Playwriting – 7 days (open)		CARIBNET Meeting: Please check which day(s): Friday Saturday
Theatre-in-Education (for teachers)		Opening Ceremony
Technical Theatre (for students)		Presentation of Papers: Please check which day(s): Sunday Monday Tuesday
Dance Improvisation (for teachers)		Visit to Welchman Hall Gully and/or Harrison’s Cave
Creative Writing (for primary teachers)		Youth Productions
Creative Writing (for secondary teachers)		Book Launch
Poetry Analysis – 2 days (for teachers)		Film Presentations
Song Writing (for teachers)		Island Tour/Shopping
		Networking Social
		Closing Ceremony
Travel Itinerary (if applicable):
Date of Arrival (dd-mm-yyyy):		Date of Departure (dd-mm-yyyy):
Time of Arrival:		Time of Departure:
Flight Number:		Flight Number:
Will you require transportation to and from the airport? YES NO
Name/Address of Accommodation in Barbados:
SECTION C - PAYMENT INFORMATION:
CARIBNET member
Student
Teacher/ Artiste/ Arts Educator/Lecturer
Performer – Name of Group