Registration Form for Diamond State Line Dance Workshop
Saturday, March 26, 2011 Millcreek Fire Hall
9:00 am - 4:30 pm Evening Dance 6:30 - 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 (3 months – 1 year) ______Intermediate ______Adv.______
LUNCH interest: YES______NO______Circle your Choice - Pay the day of workshop
Choice of Chef’s Salad, Tuna Salad, Ham & Cheese or Turkey & Cheese
Office Use Only
Type of Payment Received______Date Rec.______
" " " " " " " " " " " " " " " " " " " " " " " "
Cost:
STILL Only $40 per person if registration is received (not postmarked) by February 15, 2011
$50 per person if received on or after February 15, 2011 Sorry, NO EXCEPTIONS No Refunds
Assigned Tables: If you collect 9 or more registrations and mail them at one time, in one envelope with the name of the group, we will reserve a table(s) for you. Each table has 9 seats.
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 $10.00
Make all Checks or Money Orders payable to Joanne Brady
And mail to: Joanne Brady 803 Partridge Court, Hockessin, DE 19707-1309 OR
Angela Crowl 2210 W. 9th Street, Wilmington, DE 19805
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 be ready to be “flexible”.