| Name: ________________________________________________________
|
2nd
Person: ______________________________________________________
|
| Address: ________________________________________________________
________________________________________________________
|
Address: ________________________________________________________
________________________________________________________
|
| Home Phone: _________________________
Cell:______________________
|
Home Phone: _________________________
Cell:______________________
|
|
Email:___________________________________________________________
|
Email:__________________________________________________________
|
|
___ Permission to use
on attendee list
|
___ Permission to use
on attendee list
|
|
__ Non Vegetarian __
Vegetarian ______________Other dietary needs
|
__ Non Vegetarian __
Vegetarian ______________Other dietary needs
|
|
|
|
|
Overnight Accommodations
|
|
____ I plan to Camp ____Tent
____ Camper
|
|
____ I plan to stay in local
hotel and drive daily to dance camp
|
|
____ I will be staying with
someone locally
|
|
|
|
Registration Deadline is
June 10 (call or write me today to make sure you get this rate)
Includes 3 meals on Saturday and Sunday Breakfast
|
|
Adults:
$90.00 and sign up to volunteer for two 30
min. jobs
$110.00 if you don't want to volunteer
|
Children 13 to 18
and Students with ID:
$50.00 and sign up to volunteer for two 30
min. jobs
$55.00 if you don't want to volunteer
|
|
Registration after June 10
--------- Includes 3 meals on Saturday and Sunday Breakfast
|
|
Adults:
$105.00 and sign up to volunteer for two 30
min. jobs
$120.00 if you don't want to volunteer
|
Children 13 to 18
and Students with ID:
$60.00 and sign up to volunteer for two 30
min. jobs
$75.00 if you don't want to volunteer
|
|
|
____ Number of Adults attending
@ $__________ per person = $________________
|
|
____ Number of Children
attending @ $_________ per person = $________________
Provide names of children attending:
_____________________________________________________________________________
|
|
"Evening & Day
Dancers
only" MUST pre-registered...limited spaces
| ____
|
$20.00
- Friday - evening dance and potluck
|
____
$10.00 with Student ID
|
| ____
|
$25.00 - Saturday
evening dance only
|
____
$15.00 with Student ID
|
| ____
|
$25.00 - Saturday day
workshops and lunch
|
____
$15.00 with Student ID
|
| ____
|
$35.00
- Saturday
evening meal and dance
|
____
$20.00 with Student ID
|
| ____
|
$20:00
- Sunday morning farewell dance
|
____
$10.00 with Student ID
|
| ____
|
Children 13 and over: $10.00 per day
|
|
| ____
|
Children under 13: Donation
toward food cost
|
|
|
|
|
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| Make checks payable to: Marianne
O'Doherty
Mail registration and payment to:
Marianne O'Doherty
June
Moon Dance Weekend
515 Wilson Ave
Morgantown, WV 26501
|
If you have questions please
call me at
1.304.291.1840 (home)
1.304.685.9455 (cell).
OR
email us at odohertymarianne@yahoo.com
|
|
