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 tspittler-at-yahoo.com or call Tom Spittler and Kathy Woeltjen at 707-829-0168.
Name(s) for nametag(s) ______________________________________________________
Address __________________________________________________________________
City ___________________________________ State ___________ Zip ________________
Telephone _____________________________ Email ______________________________
|
Cost |
|
Number |
Total |
Early registration, postmarked by June 1 |
$20 |
_____ | _____ | |
Registration after June 1(if not sold out) |
$25 |
_____ | _____ | |
Gallery (non-dancer) |
$10 |
_____ | _____ | |
Additional donation |
_____ | |||
| I am enclosing |
_____ | |||
Make check payable to Mad Robin Ball.
I'd like to volunteer to help ____ beforehand ____ that afternoon ____ at the ball.
I will bring something ____ sweet ____ savory to share at the break.
To register, mail this form and your check to:
Mad Robin Ball
185 Dutton Ave.
Sebastopol, CA 95472
Last modified5/26/05 by MRB webmaster