RSCDS Twin Cities Branch
30th Anniversary Scottish Country Dance Workshop

9-11 December, 2005
REGISTRATION

Please print, fill out, enclose a check made out to RSCDS Twin Cities Branch, and mail to:

John Shackleton
3043 Fillmore Street NE
Minneapolis, MN 55418

Registration deadline is November 30, 2005

NAME(s)         _________________________________________________________
Please give first name as you would like it to appear on a name badge


ADDRESS      _________________________________________________________


PHONE        __________________________________________________________


E-MAIL       ___________________________________________________________


# of FULL WORKSHOP REGISTRATIONS:     __________  @ $80.00 (includes Failte Ball)
Saturday box lunch includes your choice of sandwich and salad                                                                             
   Sandwich choices:   1)veggie, 2)turkey, 3)salami   AND  Salad choices:  a)chicken pasta, b)green
                             
   INDICATE CHOICES (e.g. "2b" for turkey sandwich  with green salad):   __________
   
                                                    (additional person)  __________
   (If more than one person is registering on this form, please include names after the selections above)

# of FAILTE BALL ONLY REGISTRATIONS:  __________  @ $20.00 
                                                 
                                      __________  @ $15.00 (new dancers attending first ball)
												    
                                      ___________ @ $8.00 (dessert and music only)

TOTAL INCLUDED:             __________
Make check out to RSCDS Twin Cities Branch


NEED HOSPITALITY?      Yes       No

IF YES, LET US KNOW IF YOU HAVE ANY PET ALLERGIES, DIETARY RESTRICTIONS,
OR OTHER SPECIAL NEEDS

_______________________________________________________________________

IF YOU ARE TRAVELLING WITH SOMEONE ELSE YOU WANT TO STAY WITH OR NEARBY, 
PLEASE GIVE THEIR NAME(S):

_______________________________________________________________________


I WOULD DESCRIBE MY DANCE LEVEL AS:

______ Intermediate     _____ Advanced    ______ Teacher

Other comments/information we should have:___________________________

_______________________________________________________________________



© 2005 Royal Scottish Country Dance Society - Twin Cities Branch

Last updated 24 October 2005 | Branch Webmaster: Lara Friedman~Shedlov ldfs [at] bigfoot.com