Print this page (or download the flyer) and mail it with your check to the address at the bottom. A copy of the ball booklet with instructions for all dances will be mailed to registered dancers beginning in April. For more information, e-mail registration-AT-madrobin.org or call 707-829-0168.
Name(s) for nametag(s) ______________________________________________________
Address __________________________________________________________________
City ___________________________________ State ___________ Zip ________________
Telephone _____________________________ Email ______________________________
|
Cost |
|
Quantity |
Total |
Early registration, postmarked by May 21 |
$23 |
_____ | _____ | |
Registration after May 21 (if not sold out) |
$30 |
_____ | _____ | |
Gallery (non-dancer) or workshop only |
$10 |
_____ | _____ | |
Nibbles contribution |
_____ | |||
Additional donation |
_____ | |||
| I am enclosing |
_____ | |||
Make check payable to Mad Robin Ball.
I'd like to volunteer to help ____ beforehand ____ that afternoon ____ at the ball.
I will bring something ____ sweet ____ savory, or ____ make a nibbles contribution ($7 suggested) for the break.
To register, mail this form and your check to:
Mad Robin Ball
c/o Hideko Petchey
512 Norlee Street
Sebastopol, CA 95472
Last modified 3/2/08 by MRB webmaster