Conference Registration

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Name *

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Age and Date of Birth *

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Church Name *

Church Address *

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Pastor Name *

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Are you currently on a Dance Team or Ministry Leader ?Yes or No *

These are our morning
classes for Friday August 17th

Choose 1 class for Morning session. *

Apostle Pamela Hardy ( Dance the Higher Call) * THIS CLASS IS FILLED, There is a pm class that is open. Rev. Eyesha Marable ( West African Dance) Pastor Tavorris Green ( Modern Dance) Michele Vela ( Israeli Dance) MQV (Mime & Sacred Hip Hop) Jeanette Strauss ( Heavenly Impact Pageantry) Apostle Phil Tarver ( Hearing the sounds of Heaven & Releasing the song of the Lord) * This class is for Psalmist, Minstrels, Singers & Musicians

These are our afternoon or evening
classes for Friday August 17th

Choose 1 afternoon or evening session. *

Apostle Pamela Hardy ( Dance the Higher Call ) Rev. Eyesha Marable ( Modern Dance) Pastor Tavorris Green ( Flags) Michele Vela (Garments) MQV ( Mime & Sacred Hip Hop) Jeanette Strauss ( Prophetic Intercession) Apostle Phil Tarver ( Hearing the sounds of Heaven & Releasing the song of the Lord) * This class is for Psalmist, Minstrels, Singers & Musicians Special Prophetic Painting Art/Linda Harris-Lorio Saturday August 18th

* Note to registrants:
The am & pm classes you take on Friday August the 17th will be the same classes you take for the am & pm sessions on Saturday August the18th

Note to registrants: Each class will prepare for and minister a choreographed selection with your instructor on Saturday August 18th for our evening praise and worship service, so please invite your pastors & congregation, worshippers, family, friends and people who you know will be blessed by this gathering.

Payment is Through Eventbrite: DanceManifest (www.eventbrite.com)
Regular Registration: $65.00 06/01/2018 - 08/17/2018
Youth ages 8-12 $57.78 Group rate of 10 or more: $55.00 Eagle Graduates and NLDN member's special rate of $50.00 special code: DanceManifest The registration fee is due at the time registrants submit this form.

There are no refunds
Contact us if you need a payment plan.

Hotel information:
Comfort Inn
201 Perni Ln
Youngstown, Ohio 44505
330-759-3000
Please ask Megan and tell you are
registering for Dance Manifest
Book your rooms with us today at:

I hereby waive, release and forever discharge Kingdomites Biblical Dance and Flag Academy LLC and Dance Manifest 2018 Conference, and Metroplex Expo Center, from any and all causes of actions, claims, suits, damages, demands, whether known or unknown, which I may have had, now have or may have later against and its respective officers, directors, employees, volunteers and representatives, arising out of or in any way connected to my participation in the dance ministry workshops, including any of its respective class and performance, including but not limited to Kingdomites Biblical Dance Academy LLC and Dance Manifest 2018 Conference, and any affiliates associated with the 2 day Dance Manifest 2018 Conference. Signature & Initials *

PHOTO AND VIDEO RELEASE I hereby grant permission to individuals associated with Kingdomites Biblical Dance Academy LLC and Dance Manifest 2018 Conference to use all photographs and video footage taken of me and/ or my child during my and / or his/ her participation with the Dance Manifest 2018 Conference and Workshop classes. Signature & Initials *

SIGNATURE OF AGREEMENT (agreement for program participation, liability waiver and photo and video release) Date *

For Office Use only Registration: Amount $_______________ Date paid________________

THE KINGDOMITES BIBLICAL DANCE AND FLAG ACADEMYPRESENTS:DANCE MANIFEST GATHERING 2018

THE KINGDOMITES BIBLICAL DANCE AND FLAG ACADEMY
PRESENTS:
DANCE MANIFEST GATHERING 2018