Registration form
Choreography Exchange Workshop
Saturday, March 27, 2010--- 1 - 4/4:30 PM at Redeemer Lutheran Church $15 by March
18th, $20 after.
Vending fee: $25
Name: ________________________________________________ phone: ___________________________
email: ________________________________________________ cell phone: _________________________
Address: ___________________________________________________________________________________
Check amount: $___________________ check number: ___________________
Vendor name: _________________________________________ phone: ____________________________
email: ________________________________________________ cell phone: _________________________
Fill out names below only if you are a teacher bringing students:
Student names: _____________________ _____________________
_____________________ _____________________
_____________________
Please make checks payable to J. H. Smart
Mail along with registration form to; 819 Stanley Lake Rd., Friendsville, PA 18818
Teacher's receive 50% discount if bringing 3-4 students,
for 5 or more students, teachers receive workshop for free.