Print this page (or download the whole flier) and mail it with your check to the address at the bottom. A copy of the ball booklet with instructions for all dances will be mailed to registered dancers beginning in April. For more information, e-mail MadRobinBall@aol.com or call Gayle Bergmann.
Name(s) for nametag(s) ______________________________________________________
City ___________________________________ State ___________ Zip ________________
Telephone _____________________________ Email ______________________________
|Early registration, postmarked by May 12||
|Registration after May 12 (if space available)||
|Dancing child under 12||
I am enclosing
Make check payable to Mad Robin Ball.
I'd like to volunteer to help ____ beforehand ____ that afternoon ____ at the ball
To register, mail this form and your check to:
3639 Frei Rd.
Sebastopol, CA 95472
Last modified 3/26/02 by MRB webmaster