Step 1: Submit Registration Information: Please complete and submit the following form which provides your registration information and classes you wish to take. Use a separate form for each person. A registration is not complete and a place is not secured until payment is also received. It is still helpful, and will speed your check-in, to submit a form even if you will be paying at the first class. If you change your contact information (email/telephone/etc.) after registering, please use our on-line mailing list form to notify us of the updates or contact us directly with the information.
Step 2: Make Payment

International Workshop Series Registration Form
Kevin St. Laurent & Emily Hoffberg
December 1-2, 2007

Name

use separate submission for each person

Email Address

if you do not have email be sure to provide a phone number below

Telephone

(day)
eg: 508-555-1234x56

(evening)
eg: 508-555-1234

(cell/mobile)
eg: 508-555-1234

Workshops

Saturday, December 1, 2007: Newton, MA
	A	Lindy Hop Fundamentals
	B	Existential Funk? Buy a New Suit
	C	Take A Spin
	D	Strut Your Stuff
Saturday, December 1, 2007: Brookline, MA
	Dance	Uptown Swing Dance at Brookline Tai Chi with Shawn Hershey and the Fried Bananas
		(discount available with student ID)
Sunday, December 2, 2007: Newton, MA
	E	Victory in Boston
	F	Afternoon Delight
	G	Cirque du So-LAME? Flashy, Flighty Moves
	H	We ARE Lindy Hop - Fire & Ice (partner required)
Partner's name for workshop H.

Cost per person:	Payment received by Nov 21, 2007	Payment received after Nov 21, 2007
Any 1 workshop	$15	$20
Any 2 workshops	$30	$40
Any 3 workshops	$45	$60
Any 4 workshops	$55	$75
Any 5 workshops	$65	$90
Any 6 workshops	$75	$105
Any 7 workshops	$85	$120
Any 8 workshops	$95	$135
All 8 workshops & Saturday Swing Dance	$105	$145
Saturday Swing Dance	+$15	+$15
(with student ID)	+$10	+$10

Total Amount being Sent

Status

	New If you are not already on our mailing list complete this section.
	Already On Mailing List If your full address is already on our mailing list skip this section.
	Change Of Address If your address has changed complete this section.
	Same Address As If same address as another person already registered, just note their name in the Comments* section below and skip this section.*

extra line for address, leave blank if not needed

Street

Town

State

ZIP

Where you heard of us

Role

Comments

Verification Code

2194
Please enter the verification code as it is shown above (used to help prevent SPAM submissions).

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This workshop has already happened! (check International Workshop Series page for upcoming workshops)

International Workshop Series Registration Form Kevin St. Laurent & Emily Hoffberg December 1-2, 2007: Newton, Massachusetts