REGISTRATION FORM
ALLA PRIMA: AN SDA AND SAEC CONFERENCE
OCTOBER 13 - 15, 2011
The Conference is being held
at the Regina Travelodge, 4177 Albert Street
 Name
School Address:
 Street, City, Postal Code
 School Phone:
 School Fax:
 Home Address:
 Street, City, Postal Code
 Home Phone:
 E-mail Address:
 Are you a member of:  SDA    or    SAEC ?
 
 NOTE: You must be a member of SDA or SAEC to attend this conference.

 *Membership is payable at the door or visit SDA (www.saskdrama.com) or visit
 SAEC (www.saskedthroughart.ca) to fill out a membership form.
 Membership cost is NOT included in the Conference Registration Cost.

           Conference cost: (please choose your registration type)
             Full Registration: $250.00
             One Day: $200.00            
             Student: $75.00               
             School Division Special:
            

 Please mail your registration form along with your payment for
 Alla Prima, made payable to SDA, to:
 Saskatchewan Drama Association, 650 Henderson Drive, Regina, Saskatchewan S4N 5X3.  Credit card payments can be made by phoning SDA.

 Paid by? Check one:
    Personal Cheque    Board Cheque    Visa    Mastercard

 Please indicate if we should bill you directly or your School Division
 (Please Check One)    
 Bill directly to me    Bill my School Division
 Complete Billing Name and Address:
  Name, Street, City, Postal Code
 Billing Fax:
 You will receive confirmation of registration within 3 working days.
 If you do not receive confirmation, please call 525-0151 immediately.
Registration includes: All Sessions, Refreshments, Thursday Social, Continental Breakfast, Lunch and Banquet on Friday, and Brunch on Saturday.

You will receive a form to make your selection for workshops in September. Continue to watch our websites for Session and Guest Speaker information. Extra banquet tickets will be available for purchase in October, 2011 from SDA.
REMEMBER:
Registration begins Thursday evening (October 13th). Sessions run all day Friday and until noon on Saturday. You are responsible for booking your own accommodations. When making reservations at the Travelodge (586-3443), please tell them you are with the Conference.

 
Survey
Saskatchewan Drama Association and the Saskatchewan Art Education Collective
are required to submit annually to SaskCulture, Inc., as part of SDA's and SAEC's funding follow-up profiles, statistical information regarding SDA and SAEC
programs and services. The following survey will help SDA and SAEC compile
the required information. All information collected is kept in confidence
and will not be used for any other purposes.

PLEASE FILL OUT ALL SECTIONS THAT ARE APPLICABLE
TO YOU AND YOUR STUDENTS
Section 1 - Program - Please choose only one and fill out the remainder of the survey that pertains to the program selected and the Sections denoted as "General" information.
Professional Development Conference Adult Apprenticeship Program
Regional Festival Adjudicator Training Workshop/Meeting
Provincial Festival Art or Drama Classes/Workshops
Middle Years Festival MIAEM Project
Student Playwriting Competition Other: Please specify below
SAEC Minister's Collection  
Section 2 - Membership - Please check one.
Youth (0 - 29 years)
Adult (30 - 54 years)
Senior (55 + years)
Section 3 - Your Arts Program Participants - General (include SDA and/or SAEC
members in this total). Please estimate the percentage (%) for the following:
% Pre-School (0 - 4 years) % Older Youth (19 - 29 years)
% Elementary School (5 - 14 years) % Adult (30 - 54 years)
% High School (15 - 18 years) % Senior (55+ years)
 
Section 4 - Employment - General
Have you been employed by SDA on a contract or part-time basis within the last 12 months?
Yes      No
Have you been employed by SAEC on a contract or part-time basis within the last 12 months?
Yes      No
Are you of First Nations/Métis Ancestry (self-declared)?
Yes      No
 
Section 5 - Your Arts Program Volunteers - General
Please provide your best estimate of the total number of individuals supporting your arts
and/or drama group/club as follows:
Total number of volunteer roles    
Total number of volunteer instances    
Total number of volunteer hours    
Please estimate the breakdown of volunteers in the following categories:
Youth (0-29 years) First Nations/Métis
Adult (30-54 years) Northern resident
Senior (55+ years) Rural resident
 
Section 6 - Audience
(To be completed by Festival and Other Program Hosts only).
Please estimate the breakdown of your audience in the following categories:
Youth (0-29 years) First Nations/Métis
Adult (30-54 years) Northern resident
Senior (55+ years) Rural resident
 
Section 7 - Mary Ellen Burgess Library - General
Please estimate the percentage (%) for the following:
Online Other (phone/fax/e-mail, etc.)
In Person I have not used the library
 
THANK YOU FOR COMPLETING THIS SURVEY. IF YOU WOULD LIKE TO HAVE YOUR NAME ENTERED FOR A FREE MEMBERSHIP DRAW, PLEASE INDICATE BY FILLING IN THE FOLLOWING INFORMATION:
Name:
Address:
City:
Postal Code :
Phone Number :
Email:
Teacher Certificate # (if applicable):