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”.

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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 _______________________________________________