Extracurricular Staff Agreement Name* First Last Name you would like to appear on our website if different from above. First Last Will you be attending the retreat as a student?* Yes No If no, you MUST enroll as a non-student. Contact the retreat co-directors at info@oflahertyretreat.org and we will provide you a code that will waive the $25.00 non-student fee when registering.Social Security Number*If you are concerned about entering your social security number here, enter all zeros and later call or text the retreat co-director at (469) 685-2173.Email* Cell Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Would you like to donate your pay in support of the retreat?* Yes, count me in. Yes, but I choose to remain anonymous as a donor. No, not this time. If yes, we will list your name as a Retreat Partner on our website and in slides we show at our instructor concerts.How would you like to be paid?* Check PayPal We no longer pay using cash, Zelle, or Venmo. Contact us if this poses a problem.Enter the Email and Mobile Number associated with the pay platform you selected.I have viewed my profile on the retreat website, and —* I would like to make changes. I am satisfied with what I see. I haven’t seen it and trust everything is okay. Sorry, I haven’t sent you my bio and/or photo but will do it ASAP. To view profile, go to website and search your name in the search bar at the bottom of any webpage. Send changes to info@oflahertyretreat.org very soon.Comments:Regarding instructional aids, audio visual equipment and other items that you will need for enrichment classes or workshops, 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 STAFF) regarding the O’Flaherty Irish Music Retreat (hereafter referred to as RETREAT). STAFF agrees to be engaged as an independent contractor and will prepare and conduct enrichment classes, workshops, performances and/or lead sessions at the RETREAT during the period October 23rd-26th, 2025. TIMES agrees to pay an honorarium fee to STAFF by the closing of the RETREAT on Sunday, Ocotber 26th, 2025 for STAFF’S services as previously agreed. Such fee is based on the following pay rates: $75.00 for presenting an enrichment class or workshop, $75.00 for performing at a guest concert or instructor concert, and $50.00 for leading a session. If you choose to donate your pay, thank you for your support! STAFF gives permission to TIMES and its representatives to photograph, videotape and record STAFF’S enrichment classes, workshops, performances and/or sessions for its use in the marketing of RETREAT or for its educational purposes. Unless STAFF objects in writing, such recordings of presentations and performances may also be used for fundraising through CD or video sales and STAFF’S concert(s) may be streamed live to help raise needed funds to defray the cost of the RETREAT. STAFF understands that only performers of instructor concerts may provide merchandise to the RETREAT Store for sale, however, STAFF has permission to sell merchandise at their enrichment classes, workshops or guest concert performances. STAFF is responsible for sales taxes if any. STAFF 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 STAFF 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.Presenter's Signature*Date* CAPTCHA Δ