June 9 Update: Only a few spaces are still available for the ball. Please check with the registrar to reserve a spot (707-829-0168 or

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 or call.

Name(s) for nametag(s) ______________________________________________________

Address __________________________________________________________________

City ___________________________________ State ___________ Zip ________________

Telephone _____________________________ Email ______________________________






Early registration, postmarked by May 15


  _____ _____

Registration after May 15 (if not sold out)


  _____ _____

Gallery (non-dancer)


  _____ _____

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
P.O. Box 103
708 Gravenstein Highway North
Sebastopol, CA 95472

Last modified 6/9/06 by MRB webmaster