REGISTRATION FORM for Joel/Alison and the Boilermakers
Weekend of Swing Dancing, Jazz Music and Balboa 2008
Please Print and Mail to: Printable
View (PDF)
Francois Piche
730 6th Street
Verona, PA, 15147
Make checks payable to “Coal Country Traditions”.
Please check the workshops you are registering for:
| Workshops | Sign me up |
|---|---|
| Whole Weekend (incl. Friday night dance) |
|
| Saturday Only | |
| Sunday Only |
Signups for individual workshops will be at the door.
Pricing
| FULL WEEKEND | |
| Classification | Price |
| Student | $75 |
| General | $90 |
| SINGLE DAY | |
| Student | $40 |
| General | $50 |
| DANCE ONLY - pay at the door | |
| Friday: | $ 5 For those not taking the workshops |
| Saturday with Swing City: | $10 at the door for everyone |
I have enclosed $_________
Name ____________________________________
Address ____________________________________
City _________________ State ______ Zip ________
Phone (eve.) __________________
Phone (day) ___________________
Email _______________________________________________