This is an archive of the 2013 Mad Robin Ball web site. To learn about the upcoming Mad Robin Ball, see our current ball page.  | 
  
Print this page (or download the flyer) 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 info-AT-madrobin.org or call 707-829-0168.
Name(s) for nametag(s) ______________________________________________________
Address __________________________________________________________________
City ___________________________________ State ___________ Zip ________________
Telephone _____________________________ Email ______________________________
  | 
      Cost  | 
    
  | 
    Quantity  | 
    Total  | 
  
Early registration, postmarked by May 20  | 
      $25  | 
    _____ | _____ | |
Registration after May 20 (if not sold out)  | 
      $30  | 
    _____ | _____ | |
Gallery (non-dancer) or workshop only  | 
      $10  | 
    _____ | _____ | |
Nibbles contribution  | 
    $5  | 
    _____ | ||
|   I am enclosing  | 
    _____ | |||
Make check payable to Mad Robin Ball.
I'd like to volunteer to help ____ between the workshop and ball, or ____ after the ball.
I will bring ____ sweet or ____ savory finger food for the ball break, or ____ make a nibbles contribution ($5 per person suggested).
To register, mail this form and your check to:
Mad Robin Ball
  c/o Elizabeth Gould
  1416 Quail Court
  Santa Rosa, CA 95404
Last modified 3/07/13 by MRB webmaster