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Registration Form for Diamond State Line &
Partner Dance Workshop
Saturday, March 29, 2008 Millcreek Fire Hall
9:00 am - 4:30 pm Evening Dance 7-10 pm
PLEASE PRINT:
First Name:___________________________ Last Name:__________________________
Address:_________________________________________________________________
City:________________________________ State:___________
Zip:________________
Phone: Day (
)_______________________ __Evening (
)___________________
Email Address:_____________________________________________________
Submission of this form by the party listed above signifies the following statement:
“I agree to hold the organizers of this event and their agents harmless from all suits, claims or demands of every kind and character arising out of or in conjunction with this event. I understand the physical risk of social dancing and assume full responsibility for any injury or personal damages resulting from the event mentioned above. I certify that I am 18 years or older (applicable to Legal Guardian if under 18 years of age).”
Please check one for experience and one for preference
Dance Experience: Beginner ______ Intermediate_______ Adv._________
Dance Preference: Line_____________ Partner/Pattern ________________
Office Use Only
Type of Payment Received____________________________ Date Rec.____________
Cost:
$40 per person if registration is received (not postmarked) by
February 1, 2008
$50 per person if received on or after February 1, 2008
Sorry, No Exceptions / No Refunds
Evening Dance:
The evening dance will be included
in the cost of the workshop.
If you do not attend the workshop but wish to attend the evening dance, the cost
will be $10
Make all Checks or Money Orders
payable to Joanne
Brady
And mail to: Joanne Brady 803 Partridge Court, Hockessin, DE 19707-1309
Format for the day: Once the day begins we will teach a dance, then dance 2 or 3 social dances, then teach another, then dance 2 or 3 social dances and this format will continue throughout the day. The last 30 minutes of the day will be a review of the dances taught during the day. We want the day to be relaxed and fun so expect to be “flexible”.