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

Karen Shaw

612 N. 64th St.

Seattle, WA 98103

e-mail: Dancerfolk@gmail.com
Weekend Package: $80
Registration will be limited. Those who cancel after April 20 will receive a refund less a $10 handling
fee.

Registration includes the Friday evening dance. Sorry, there will likely be no 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.