2020 Dance Instructor Agreement Please enter your name as it appears or will appear on your Visa.* First Last Name you want published on website and for marketing. First Last Current Passport Number (if valid during retreat) Date of Birth (needed for Visa and/or booking travel)* Month Day Year Email* Website (if any) Cell Phone*Home PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Will you be travelling from outside the U.S.?* Yes, and I will already have a Visa that allows me to enter and work in the U.S.. Yes, and I will need to be added to your P-3 Group Visa, and I’ve NEVER been included in a P-3 before. Yes, and I will need to be added to your P-3 Group Visa, and I HAVE been included in P-3(s) before. No, I will be in the U.S. already but will need air travel. No, I will be in the U.S. already and will drive to the retreat. What will be the probable city/airport from which you will be driving/flying?* If you WILL need to be added to our P-3 Group Visa, please list all previous P-3 or J-1 Visas by date and receipt number for the past seven years and all other names used (include aliases, maiden names, and names from previous marriages) that you have traveled under: (if none, enter "none")*Country of Birth* Country of Citizenship* Emergency Name* First Last Emergency Phone*Do you have any food allergies or dietary requirements?* None Yes If YES, please describe:*Will you be accompanied by a spouse, loved one, friend, guest?* No Yes I don’t know yet If YES, please provide the name(s):* If YES, will they be attending as a student(s) or non-student(s)?* Student(s) Non-Student(S) PLEASE NOTE: Costs for tuition, travel, lodging and meals of any accompanying guests will be borne by the guests or instructor. Relatives of instructors will receive 50% off their tuition.Would you like a complimentary Retreat T-Shirt?* No T-Shirt Yes T-Shirt What size t-shirt would you like?*Choose OneWomen's SmallWomen's MediumWomen's LargeWomen's XLWomen's 2XLMen's SmallMen's MediumMen's LargeMen's XLMen's 2XLComments:Regarding instructional aids, audio visual equipment and other items that you will need for your core classes and/or enrichment classes, we will send you a link to an online form prior to the retreat for you to register those needs.Terms of AgreementBetween the Traditional Irish Music Education Society (hereafter referred to as TIMES), and the named individual entered above (hereafter referred to as INSTRUCTOR) regarding the O’Flaherty Irish Music Retreat (hereafter referred to as RETREAT). INSTRUCTOR agrees to be engaged as an independent contractor and will prepare and conduct instructional classes, enrichment lectures/workshops, and/or performances at the RETREAT during the period October 29th – November 1st, 2020. TIMES agrees to pay an honorarium fee of $1,500.00 to be paid INSTRUCTOR by the closing of the RETREAT on Sunday, November 1st, 2020 for INSTRUCTOR’S services listed below. Teach three one-hour Instructional Classes per day during the RETREAT. Call the “Kick-Off Ceili” on Thursday, October 29th from 8:30-11 p.m Facilitate the “Step Swap” on Friday night from 9-11 p.m. (this follows the instructor concerts so there may be a delayed start but still end at 11 p.m.). Call the “Lonestar Ceili” on Saturday night from 9 p.m.-midnight (this follows the instructor concerts so there may be a delayed start, but still end at midnight). Perform during an instructors’ concert during one evening of the retreat. Concert may be performed solo or with others according to INSTRUCTOR’s preference. Perform during our closing concert featuring all of our instructors on Sunday evening. TIMES will provide lodging, local transportation, and meals for INSTRUCTOR on the days that INSTRUCTOR is a paid contractor at the RETREAT. Unless already obtained by INSTRUCTOR for other purposes or not required for this engagement, INSTRUCTOR will be included in a group visa application obtained and paid for by TIMES for the sole purpose of the RETREAT covering October 15th to November 15th, 2020. Individual INSTRUCTOR costs related to obtaining the group visa from the U.S. Embassy within Ireland will be reimbursed by TIMES. Should the INSTRUCTOR book other engagements during the timeframe covered by the TIMES visa, the TIMES will be recompensed a share of INSTRUCTOR’s portion of the visa costs based on the number of engagements. At TIMES expense, TIMES will arrange INSTRUCTOR’S travel from a major airport near INSTRUCTOR’S residence and a return flight. Travel from/to other locations can be made if the cost is no greater. INSTRUCTOR is responsible for travel costs and arrangements from his/her home to the airport used. Checked baggage fees will be reimbursed. INSTRUCTOR must arrive at DFW airport no later than Thursday, October 29th, 2020 by 5 p.m. and depart by 12 noon on Monday, November 2nd, 2020. If coming from outside the US, we recommend INSTRUCTOR arrive on Wednesday, October 28th to have one day to lessen jet lag. You will lodge at a hotel for that evening. Should the INSTRUCTOR want to arrange additional travel, the TIMES will contribute the amount of the initial roundtrip airfare and, if such travel is for additional engagements, TIMES will be recompensed a share of INSTRUCTOR’s portion of the airfare cost based on the number of engagements. TIMES will provide a products booth for sales of books, recordings, and other music products which INSTRUCTOR has directly participated as a principal performer/author. INSTRUCTORS whose products are sold will be responsible for all pertinent taxes. INSTRUCTORS will receive 97% of the proceeds from these sales. TIMES will retain 3% to cover credit card processing fees. INSTRUCTOR gives permission to TIMES and its representatives to photograph, videotape and record INSTRUCTOR’S classes, performances and interviews for its use in the marketing of RETREAT or for its educational purposes. Unless INSTRUCTOR objects in writing, such recordings of performances may also be used for fundraising through CD or video sales and INSTRUCTOR’S concert(s) may be streamed live through a reputable Internet concert site to help raise needed funds to defray the cost of the RETREAT. INSTRUCTOR agrees to defend, indemnify and hold harmless TIMES, its volunteers and managers, its board of directors, and other representatives, from and against any and all actions, costs, claims, losses, expenses or injuries arising out of the acts of INSTRUCTOR at RETREAT including liability for taxes, insurance and workers compensation. By signing below, I understand and agree to the terms of this agreement as stated above.Instructor's Signature* Reset signature Signature locked. Reset to sign again Date* Month Day Year CAPTCHA Δ