Registration

Please make checks or money orders in U.S. funds payable to Karen Shaw, and mail to:

Karen Shaw

612 N. 64^th St.

Seattle, WA 98103

e-mail: Dancerfolk@earthlink.net

Weekend Package: ………………...$70

If received before April 6:…………...$65

Registration will be limited. Those who cancel after April 20 will receive a refund less a $10 handling fee.

Partial scholarships are available, thanks to the Ann Jesperson Memorial Fund. Contact Karen.

We encourage you to register for the weekend. Registration includes the Friday evening dance. If space is available, there will be registration at the door for the Saturday and Sunday workshops, and the Saturday night dance.

Please print this form and mail it to Karen Shaw. It will NOT send via the WEB.

Name(s)_____________________________________________________

Address_____________________________________________________

City______________________________State_______Zip_____________

e-mail (please print clearly)______________________________________

Evening phone____________________Daytime phone_________________

I can provide housing for ____________________guests. (please indicate # of beds or other sleeping spaces)

I need housing for _________________________(please indicate allergies, etc.)

Housing may be limited. Please register early.

(Please note: housing will be arranged 5-7 days before the weekend.)

I'd like to volunteer to help.______________