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 Lindy Hop Workshop Series Registration Form
Sylvia Sykes & Nick Williams
November 17-19, 2006

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

Friday, November 17, 2006: Newton, MA
	A	Flowmentum
	B	Variations for Pure Balboa
Saturday, November 18, 2006: Newton, MA
	C	Fundamentals of Lindy Hop
	D	Building on Fundamentals
	E	Balboa Basics
Saturday, November 18, 2006: Wayland, MA
	Dance	Swing Dance at Longfellow Club
Sunday, November 19, 2006: Newton, MA
	F	Nitty Gritty of Lead & Follow
	G	Lindy Hop, Out of the Box
	H	Musicality & Balboa
	I	Balboa Bonanza

Cost per person:	Payment by Nov 8	Payment after Nov 8
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 9 workshops	$105	$150
All 9 workshops & Saturday Swing Dance	$110	$155
Saturday Swing Dance	+$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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International Lindy Hop Workshop Series Registration Form Sylvia Sykes & Nick Williams November 17-19, 2006: Newton, Massachusetts