Registration Form

Name____________________________________________________________________

Address__________________________________________________________________

            __________________________________________________________________ 

Phone_______________________________________________________

Email________________________________________________________

Contras, Squares & Rounds Friday, October 17, 2008 6:00 pm to 11:00 pm

______$5 Singles

______$9 Couples

______$12 Family (2 adults with children under 18)

International Folkdance Saturday, October 18, 2008 9:00 am to Midnight 

______$45 Whole Day, or:

______$8 Session I 10 am to 12 noon (Leslie Scott)

______$8 Potluck Lunch Noon to 1 pm

______$8 Session II 1 pm to 3 pm (Nick Bokas)

______$8 Session III 3:30 pm to 5:30 pm (Leslie Scott)

______$8 Potluck Supper 5:30 pm to 6:30 pm

______$8 Dance Party 7:30 pm to Midnight (Sloboda)

or

______$45 for both days

______$7.50 Dance Notes

______$15 Workshop CD Set

______Total Amount Enclosed
Make checks payable to  I.F.D.W. Georgia Schreiber      

Food Preference (pick one): ____General  ____Vegetarian  ____Vegan

If bringing soup for potluck lunch, is it  ____General  ____Vegetarian   ____Vegan 

If bringing food for potluck supper, is it

       ____General    ____Vegetarian  ____Vegan

       ____Casserole  ____Salad         ____Dessert

 
Mail completed form to:
       Georgia Schreiber
       N2004 Old Hwy A
       Markesan, WI 53946