John Shackleton
3043 Fillmore Street NE
Minneapolis, MN 55418
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