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Event Registration
2020 Retreat and Jamboree Registration Form
This is the form to have participants sign up for the 2020 Frost Valley Retreat and Jamboree.
Name
First
Last
Email
Phone
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
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Bangladesh
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Belarus
Belgium
Belize
Benin
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Bonaire, Sint Eustatius and Saba
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Congo, Democratic Republic of the
Cook Islands
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Croatia
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Cyprus
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Eswatini
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Gabon
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India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
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Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
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Maldives
Mali
Malta
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Mayotte
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New Caledonia
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Nigeria
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Northern Mariana Islands
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Panama
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
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Saint Barthélemy
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Saint Kitts and Nevis
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Samoa
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Thailand
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Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Country
Professional Affiliation
*
How are you connected to Elemental Music and Movement?
Active Public or Private School Educator
Higher Education
Retired
Independent Studio Teacher
Community Group Coordinator/Member
Main instruments you would be able to bring?
*
Tell us what your main instrument(s) is/are and plan to bring these to the retreat:
Other instruments
*
What other instruments would be able to bring to the retreat for use in our elemental music and movement sessions as well as our evening jam sessions. Voice is a given, guitar, ukulele, dulcimer, recorders, drums, modern wind, brass, string, instruments, etc.
ACEMM Retreat and Jamboree Registration
*
Registration fees are your "ticket" in the door to all of the professional development, networking and social events held at the retreat. Guest Registrations are welcome for those not attending the retreat, however, they will need to pay for lodging and meals.
Retreat Registration: $95.00
Guest Registration $0.00
Frost Valley Lodging and Meal Accommodations
*
Sleep peacefully at Frost Valley: 2 nights of lodging, choose below from several option to affordably meet any need. Eat well at Frost Valley: Breakfast, lunch and dinner from Monday evening dinner through Thursday lunch. These include a total 5 family style meals served in the dining hall. All meals are served family style with a main entree and side dishes. There is a salad, fruit and cereal bar as well as soup of the day. At each meal, there are vegetarian, vegan and gluten-free options available that will meet most dietary needs. Please share any food allergies or dietary restrictions. A snack will be provided every evening as well. Play and Explore Frost Valley: Enjoy a daily 2-hour program with Frost Valley staff: hiking, archery, greenhouse, outdoor living skills are a few of the possibilities! (Since the meals and accommodations are grouped together, we ask that all participants plan to stay on site.)
Hotel-Style Single Occupancy: $493
Hotel-Style Double Occupancy: $282
Modern Lodge-Style: $232
Day Rate (Lunch& Dinner Only. No Lodging): $100
Preferred Roommate(s)
If selecting double-occupancy or lodge housing, please note who you wish to room with. If no roommate is requested, we will try to assign one to you.
Linens (Modern Lodge-Style Only)
If opting for the Modern Lodge Style housing, you may choose to have Frost Valley provide bedding and towels for an additional $9 or bring your own at no additional cost. (Hotel Style housing will have linens provided at no additional cost.)
Frost Valley Provided Linens: $9
Bring Own Linens
Do you have any specific dietary needs or food allergies?
*
None
Vegetarian
Gluten Free
Vegan
Food Allergy
Other
If you indicated that you had a food allergy above or another concern, please share that information below.
Travel Plans
*
Please let us know how you will be planning to travel to Frost Valley. This will help us plan for parking.
Individual traveling in my own car which will stay on site during the event.
Traveling in my own car with at least one other person.
I will be dropped off and picked up.
I will travel to a local airport and will need to coordinate a transfer to Frost Valley.
Travel plans are still forming.
Total
$0.00
Choose Payment Method
*
Checkout securely with PayPal (PayPal account is not necessary, major credit cards accepted)
Send a check to ACEMM, P.O. Box 7054 Hackettstown, NJ 07840-7054; include a printed copy of your registration e-mail.
Phone
This field is for validation purposes and should be left unchanged.
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