2018 Mad Robin Ball Registration

Print this page (or download the form) 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 ______________________________






Early registration, postmarked by May 22


  _____ _____

Registration after May 22 (if not sold out)


  _____ _____

Gallery (non-dancer) or workshop only


  _____ _____

Nibbles contribution



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 03/16/18 by MRB webmaster