2017 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 ______________________________

 

Cost

 

Quantity

Total

Early registration, postmarked by May 23

$40

  _____ _____

Registration after May 23 (if not sold out)

$45

  _____ _____

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 03/10/16 by MRB webmaster