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 registration-AT-madrobin.org or call 707-829-3608.
Name(s) for nametag(s) ______________________________________________________
Address __________________________________________________________________
City ___________________________________ State ___________ Zip ________________
Telephone _____________________________ Email ______________________________
  | 
      Cost  | 
    
  | 
    Quantity  | 
    Total  | 
  
Early registration, postmarked by May 15  | 
      $20  | 
    _____ | _____ | |
Registration after May 15 (if not sold out)  | 
      $25  | 
    _____ | _____ | |
Gallery (non-dancer) or workshop only  | 
      $10  | 
    _____ | _____ | |
Nibbles contribution  | 
    _____ | |||
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, or ____ make a nibbles contribution ($5 suggested) for the break.
To register, mail this form and your check to:
Mad Robin Ball
  P.O. Box 164
  708 Gravenstein Highway North
  Sebastopol, CA 95472
Last modified 5/26/07 by MRB webmaster