| Pre-Registration Form | Registration #:________ |
| Last Name:______________________ | His:____________________ | Hers:___________________ |
| Address:___________________________________________________________________ | Zip:________________ |
| Home phone:_____________ | Cellular phone:___________ | E-mail:__________________________ |
Please Circle All That Apply |
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| Square Dancer | Round Dancer | Clogger | Caller | Cuer | Instructor |
DANCING REGISTRATION
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| _____ | Advanced Registrations @ $18.00/person. Advanced registration ends July 20, 2006 .......................... | $__________ |
| _____ | Walk-in Registration (Entire Weekend) @22.00/person ........................................................................ | $__________ |
| _____ | Friday only Registration @ $14.00/person ............................................................................................. | $__________ |
| _____ | Saturday only Registration @ $14.00/person .......................................................................................... | $__________ |
Total Registration |
$__________ | |
HOUSING REGISTRATION Groups must register togeather in order to get rooms togeather. |
|
Name of others wanting adjacent rooms:_______________ |
Name of others wanting in same room:_________________ |
| ___# ofPeople ___# of Nights Air Conditioned Room @ $22.00/person/night. (#people x #nights x $22) $_______________ | |
| Children under 18 are free in parent's room. Bring sleeping bags. You must bring your own pillows, sheets,
towels, etc. Please list special requests for health reasons (in order to insure special requests, get registration in early)________________ |
|
Registrant is responsible for damage in their room. |
Total Housing $____________ |
CAMPING REGISTRATION |
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| In order to camp togeather you must arrive togeather. Campsites are assigned on a first come, first served basis. You must bring at least a 50 foot, extra heavy duty cord for electrical hookup. Check-in starts Fri. morning. Type of Unit & Size:_______________________________________ |
|
_____ # OF Nights @ $12/night |
Total Camping $____________ |
MEAL REGISTRATION |
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Meals must be paid in advance. Only limited meals will be available at the registration desk. |
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_____ # of Meals for Friday Supper @ $8.00/person................................................................................ |
$____________ |
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_____ # of Meals for Saturday Breakfast @ $5.00/person.......................................................................... |
$____________ |
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_____ # of Meals for Saturday Lunch @ $6.50/person................................................................................ |
$____________ |
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_____ # of Meals for Saturday Supper @ $8.00/person................................................................................ |
$____________ |
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_____ # of Meals for Sunday Breakfast @ $5.00/person.............................................................................. |
$____________ |
|
Total Meals $____________ |
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Please make checks payable to: West Virginia Dance Convention (no refunds after July 25, 2006) |
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| Amount submitted:$____________ | Check #:_______ | Balance Due: $____________ | Grand Total Due $____________ |
| GENERAL INFO: Footwear must not mark or damage dance floor. Western wear is required Fri. & Sat. evening sessions. Casual clothing will be allowed at workshops & night owl dances. Casual clothing must be reasonable. Tank tops, halter tops, short shorts & bathing suits have been deemed not reasonable. They will not be allowed on the dance floors. RIBBONS MUST BE WORN AT ALL TIMES BY ALL PERSONS ATTENDING THE CONVENTION. | Return Registration Forms and Money to: Teri and Tim Merrifield 619 Rambling Hills Road Elkview, WV 25071 Tele 304-965-7598 Cell 304-539-2837 E-mail: tmerrifi@hotmail.com |