2023 Instructor Agreement Please enter your name as it appears on your driver's license.* First Last Name you want published on website and for marketing. First Last Social Security Number* If you are concerned about entering your social security number here, enter all zeros and later call or text Ken Fleming at (214) 770-5036. Date of Birth (needed for 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 to the retreat by car or plane?* By car By plane Don't know yet What will be the probable city/airport from which you will be driving/flying?* 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 19th – October 22nd, 2023. TIMES agrees to pay an honorarium fee of $1,200.00 to be paid INSTRUCTOR by check by the closing of the RETREAT on Sunday, October 22nd, 2023 for INSTRUCTOR’S services listed below. Teach three one-hour Instructional classes per day during the RETREAT. Teach one one-hour Enrichment Class or Workshop the topic and content of which are determined by INSTRUCTOR and approved by RETREAT Director OR present one one-hour Informance. Co-lead with a group of INSTRUCTORS a 90-minute session with students one evening after INSTRUCTOR concerts. Perform during an INSTRUCTOR' 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. At TIMES expense, TIMES will arrange INSTRUCTOR’S travel from a major U.S. 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 19th, 2023 by 5 p.m. and depart after 10 a.m. on Monday, October 23rd, 2023. 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 unless otherwise agreed. INSTRUCTOR will be responsible for obtaining a visa to enable INSTRUCTOR to work in the U.S. and teach at the RETREAT. 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, 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. In the event that illness, injury, travel restrictions, acts of God, or Force Majeure prevent INSTRUCTOR from attending, this agreement becomes null and void. INSTRUCTOR also agrees to follow health protocols recommended by the CDC that are set by the RETREAT. 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
