FLORIDA DANCE EDUCATION ORGANIZATION CONFERENCE REGISTRATION “COLLABORATIONS: INFINITE POSSIBILITIES” October 16 - 18, 2014 12th Annual Conference - Conference site – School of Theatre & Dance, University of South Florida, 4202 East Fowler Ave., TAR 230, Tampa, FL. 33620 Invited Guests, Workshops, Presentations from Leaders in the Field, Networking Opportunities Registration Form - please type or print clearly Registration package includes: 3 days of workshops, sessions, luncheon, and performance Name: ______________________________________________ Early Bird (before 9/15/14) Institution: __________________________________________ Address: ____________________________________________ City _______________ State______ Advance (10/1-10/16/14) Home Phone: _____________ Work Phone: ______________ On-site _____ $200 members* (during conference) _____ $225 non-members One day attendance _____ $150 members* _____ $150 non-members Work Email: _____________________________________ Do you plan to attend the Saturday luncheon (included in registration fee)? Yes ________ No________ If yes, do you require a vegetarian meal? ______ _____ $175 members _____ $200 non-members Zip Code___________ Business ___ K-12 ___College/University ___ Private ____ _____ $135 members* _____ $150 non-members Full-time College Student with valid ID _____ $50 member or non- member TOTAL ENCLOSED _________ *Members are defined as current NDEO and FDEO members. If membership is recent, please provide receipt or photocopy of member card. Pay online via: http://www.fdeo.org/fdeonew/payments.html CHECKS or MONEY ORDER make payable to FDEO, Inc. Send conference registration and payment to: Daniel Lewis, FDEO Treasurer, 8901 SW 79th Court, Miami, FL 33156 HOTEL INFORMATION Embassy Suites USF/Busch Gardens 3705 Spectrum Blvd, Tampa, FL.33612 Tel: 813-903-6625 Fax: 813-903-6600 Contact Person : Jennifer Cancho Grawunde Jennifer.Cancho@jqh.com FDEO Room Rates: $139 (FREE parking, cocktail reception on Thursday evening, continental breakfast, walking distance to the conference site) For more information, contact Albena Arnaudova at aarnaudov@gmail.com By completing this registration form, I give FDEO permission to use my image and likeness in any film, video, photography and any other digital forms for commercial, educational, promotional, funding or documentary purposes.