Registration form for Lindy Hop and Balboa Workshop weekend

No pre-registration for single workshops and evening dances - pay at the door.  

Pricing
  Regular Student
Full package $95 $70
I have enclosed $ 

Name ____________________________________

Address ____________________________________

City _________________ State ______ Zip ________

Phone (eve.) __________________

Phone (day) ___________________

Email __________________

Check here if you would like us to to add your address to our paper mailing list (mailings about 5X/year)

Check here if you like us to add your email to the CCT mailing list (emails 2-4/month).

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Please Print and Mail to:    
CCT c/o Lisa Tamres
5848 Aylesboro Ave
Pittsburgh, PA 15217-1446

Make checks payable to “Coal Country Traditions”.