Dan Grundtner
1112 Idaho Ave
St. Paul, MN 55108
NAME(s) _________________________________________________________
Please give first name as you would like it to appear on a name badge
ADDRESS _________________________________________________________
PHONE __________________________________________________________
E-MAIL ___________________________________________________________
How many years have you regularly taught? _______________
Are you or do you have:
____ RSCDS Teacher? ("Full Certificate" or Units 4 & 5)
_____Prelim Cert? (Units 1,2 & 3)
_____Prelim Teacher Candidate?
# of FULL WORKSHOP REGISTRATIONS (BEFORE 1 NOV 2007): __________ @ $75.00
# of FULL WORKSHOP REGISTRATIONS (AFTER 1 NOV 2007): __________ @ $85.00
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):
_______________________________________________________________________
ANYTHING SPECIAL YOU WOULD LIKE RON TO COVER ABOUT TEACHING SCD:
_______________________________________________________________________
_______________________________________________________________________
© 2007 Royal Scottish Country Dance Society - Twin Cities Branch
Last updated 26 September 2007 | Branch Webmaster: Branch Webmaster: Lara Friedman~Shedlov lfriedmanshedlov [at] gmail.com