18th KoSA CUBA Workshop & Fiesta Del Tambor (Havana Rhythm & Dance Festival)

March 3-10, 2019

Please use block letters Registration Form
Full name as it appears in your passport

Address City

Province / State Postal / Zip Code

Country Tel

Date of Birth Email

(Year / Month / Day)
Full name (s) as it appears in the passports of accompanying non-participant(s):
1. 2.

COST BREAKDOWN (taxes included)

PARTICIPANT LAND NON-PARTICIPANT Total to pay
PACKAGE LAND PACKAGE
ONLY ONLY

Double £ $ 2260 USD £ $ 2030 USD

occupancy

Single £ $ 2390 USD

occupancy
Price includes:
Hotel room at the Palco Hotel in Miramar-7 nights
Transportation during the entire week for all group activity. Transportation to & from airport not included. 2 meals per day, all conferences,
classes and festival activities in Havana and accreditation for “La Fiesta Del Tambor ”the Havana Drum Festival-Havana Rhythm and
Dance Festival full Access Pass. KoSA full time translator, coordinator and in house assistance during the duration of the program. All
instruments provided.

Prices do not include alcoholic & non-alcoholic drinks .Prices do not include flight to Cuba.
Participants are encouraged to book early for best flight price .
Payment :
1. Checks payable to : KoSA Communications International
or
2.Ù Credit card:
£ Visa £ Master card _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ exp. ___ ___ / ___ ___ ___ ___
Ù credit card payments accepted by phone only for security reasons ( 514-824-2063 )

Signature of the credit card holder:

Major area of interest, please check the appropriate box

£ Bongos £ Timbales £ Congas £ Drumset
What is your level of experience, please check the proper level
£ Elementary £ Intermediate £ Advanced £ Professional
Insurance : We suggest participants purchase travel health insurance .
£ USA legal travel £ University credits available ( electives )

NOTE: March 3 & March 10 are travel days. Program begins Monday 10 AM & ends with Saturday night concert

General conditions:
A non-refundable deposit of $700.00 USD is required at the time of booking. The full payment is due by February 1st, 2019 and is also non-
refundable. We suggest you book early to guarantee your flight. It is your responsibility to have a valid passport to travel to Cuba. All
participants must have active health and medical coverage during your stay in Cuba.

Signature of participant:______________________________________________________________________ Date: ____ ____ / ____ ____ / ____ ____ ____ ____
(day) (month) (year)
Please fill in all fields on this form and email to: info@kosamusic.com or mail to
KoSA Communications International PO Box 333, Station St. Jacques, Montreal, Qc, H3C 2S1, Canada