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ILDF Academy REGISTRATION FORM (S)
MAIL TO:LDF Academy REGISTRATION FORM (S)
THE INTERNATIONAL LITURGICAL DANCE
ACADEMY
Student Registration & Application Form
Please complete the ILDF Student Registration form, the photo & video waiver form and the Liability Waiver Release Form and remit with fees to the International Liturgical Dance Fellowship. *Liability Consent & Waiver Release Form must be signed by each student prior to their 1st class.
Please print information below and mail to above address. Please include a photo with your application. (Professional quality photo only).
Date____________________________________________
Name___________________________________________
Date of Birth______________________________________
Current Address________________________________City___________________State______ZIP______
Home No#_____________________________
Cellphone No#__________________________
Work Number____________________________________
Email Address:___________________________________
Your website:____________________________________
Church affiliation: _____________________________________________________________________
Dance Ministry or School: _____________________________________________________________________
Number of years of dance training in: Liturgical____Ballet_____ Modern Dance_____ Jazz_____
Lyrical_____ Other______________________
EMERGENCY CONTACT INFORMATION:
Emergency Contact Person (s)
Name (s) ______________________________________
Address:______________________________________
Phone Number (s)_______________________________
Please attach resume of all dance related experience (i.e. performances, choreography, master classes, workshops attended etc.) In one or two paragraphs, please state what dance means to you and identify your dance career goals. Use the reverse side if necessary
Class Enrollment:Adult Classes (12 yrs to Adult) ______________
***
Adult Private Lessons Fee Extra $ 25.00 per hourPrivate lessons (beginner, intermediate or advance) Specify One: _____________________
NO REFUNDS FOR ANYONE FOR ANY REASON AT ANY TIME
(Fees listed annually)Fees are subject to change each calendar year.
(In state students) Adult Monthly fee $100.00 paid in advance or monthly payments
(for one year Certificate Program) Payment plans available.
Out of state students discount available * please call for more information. Praise Garment requirements please see manual. Checks made payable to ILDF*Previous dance training? If yes explain use back of application. YES _____ NO_____
*Are you a member of a dance ministry, school, troupe? YES_____ NO _____
*If yes please list them:Are you a member of a church or religious group?
YES _____ NO _____
Student’s Name:
____________________________________________________________
Print Name
________________________________________________________
Signature above
______________________________
Date: X____________________________________
X____________________________________
Parent or Legal Guardian (print & sign)
Date:________________________________
MAIL TO:
ILDF Academy
P.O. Box 32456
Pikesville, Maryland 21282
443-739-6672
Advance Registration Required
*********************************************************************************
LIABILITY WAIVER
Very Important Read Carefully
I am aware and am in full agreement that neither myself, family member (s), friends or associates will hold ILDF its directors, staff, other students, volunteers responsible for any injury, incident (s), or death due to my attendance, activity, participation or travel with the International Liturgical Dance Fellowship. I nor my family member (s), friends or associates will not bring any legal action or lawsuit (s) of any kind for any reason at anytime against ILDF its directors, staff, other students, or volunteers whether in connection with loss or damage of property / person, any injury, incident (s), or death due to my attendance, activity, participation or travel with the International Liturgical Dance Fellowship.
Signature:_____________________________
Date:_________________________________
Legal Guardian of Youth
(Print and Sign):_______________________________Date:______________
********************************************************************************************
Photo/Video Waiver
The International Liturgical Dance Fellowship would like to publicize information about our ministry, dance training, or programs that are available, and we can do this through use of pictures or video.I hereby give my consent for photographs and/or video to be used for promotional purposes and may be added to the photo gallery of the ILDF at anytime for any reason. I waive any and all right to payment (s) for use of my photographs, video, or likeness of me. I understand that this waiver does not expire.
ILDF Volunteer Form
Please return this sheet with your registration form
Name:Phone Number:We are always seeking volunteers to work with our director and coordinators. Please indicate which areas you maybe interested in. These are non paid temporary volunteer assignments. Circle area of volunteer interest.
Sewing
Class Teacher or Assistant (You must be selected by Dr. Franca for this position)
Music / Sound Operations
Usher
Decorating
Intercessory Prayer
Photographer / Misc. Pictures
Videotaping
Birthday / Get well / Sympathy / Thinking of you cards and calls
Catering (Full or Asst.)Intercession and Prayer: We are standing in need of prayer throughout the year and prior to ministry assignments. If you would like to be on a prayer chain, would be available to pray regularly or otherwise, please contact Dr. Franca 443-739-6672.
Student’s Name:
____________________________________________________________
Print Name
____________________________________________________________
Signature above
______________________________
Date:
X____________________________________
Parent or Legal Guardian (print & sign)
Date:________________________________
MAIL TO:
ILDF
P.O. Box 32456
Pikesville, Maryland 21282
Advance Registration Required
*You may bring to orientation / All forms are due prior to classes
Tuesday, July 24, 2007
ILDF Academy Now OPEN!!!
International Liturgical Dance Fellowship (ILDF)
~A Corporate Worship For A Corporate Body~
THE ILDF ACADEMY IS NOW OPEN !!!!!
10 Month - Intensive Program
Certification in Liturgical Dance
(upon successful completion of the program)
Location: 2612 Gwynn Falls Parkway
Baltimore, Md. 21216
(office no#) 443-739-6672
Days/Times: Wednesday Evenings 7:00 - 9:30 pm (*alternative days maybe added).
2nd & 4th Saturdays 10:00 am - 1:00 pm
Tuition: $100.00 per month for (12 yrs to Adult)
Curriculum:
ILDF 100 - The Ministry of Dance (Scriptural)
ILDF 101 - The Color of Praise (Sacred Garments)
ILDF 102 - The Steps of a Good Man
ILDF 103 - Warfare Inward & Outward
ILDF 104 - Instruments of Praise
ILDF 105 - My Body Is The Temple (Spiritual / Nutrition / Exercise)
ILDF 106- The Liturgical Dancer & The 5-fold Ministry
ILDF 107 - Hebrew / Greek (application)
ILDF 108 - God's Armour Bearer
ILDF 109 - In His Presence (Intercessory Prayer Assignments)
Final Assignment: Here Am I Lord - Send Me (Graduation Assignment)
Choreography classes will correspond with the above written class assignments.
LITURGICAL DANCE
*we may incorporate modern, ballet, jazz, step, hip hop, Davidic, Messianic, prophetic, interpretive, story telling & calypso.
INSTRUMENTS OF PRAISE
Flags
Banners
Tambourines
Streamers
Tabernacle Veils / Billows
Tabrets / Glory Hoops
*payments are to be made in advance for one year program, quarterly, bi-monthly, or monthly. No student may attend class until tuition is paid for that month. No student will receive the Certification of Liturgical Dance nor graduate from the program unless all of the required assignments are completed in a timely manner and tuition paid in full.
NO REFUNDS FOR ANYONE FOR ANY REASON AT ANYTIME.
The studio is not equipped for small children. NO childcare provided.
Please bring your own bottled water or juice. No food in class. No jewelery except wedding ring to be worn in choreography classes.
Required:
Bible
Other Materials (books etc) Required reading will be given prior to assignment due date, YOU ARE RESPONSIBLE FOR ACQUIRING YOUR BOOKS.
Choreography Class Attire:
Black leotard (short and long sleeve)
Black Pallazo pants (loose jazz pants acceptable)
Footless tights (black)
T-Shirts / Sweatshirts (long and loose) be mindful that this is a Christian ministry thus the appropriateness of your attire should reflect such.
* Other leotards and dancewear maybe acceptable.
Shoes: Ballet (black - white - pink) Dance Sneaker (Black)
Lyrical Sandals (Flesh tone)
Hair must be neat at all times and pulled back off of face.
YOU ARE RESPONSIBLE FOR ALL OF YOUR LITURGICAL WEAR FOR EVERY ASSIGNMENT. THOSE WHO ARE NOT PREPARED WILL NOT MINISTER FOR THAT PRESCRIBED ASSIGNMENT. Consistent lateness will not be tolerated.
All assignments are to be typed - double spaced and proofed prior to handing them in.
for more information:
The International Liturgical Dance Fellowship
P.O. Box 32456
Pikesville, Maryland 21282
443-739-6672
http://www.ildf.org/
http://www.ildfrejoice.blogspot.com/
http://www.dancefellowship.blogspot.com/