REGISTRATION FORM
for Valerie and Marty (from GetHepSwing) Lindy Balboa Weekend Nov 1 and 2 2003

Check workshops you will be attending

Saturday	Sunday
_____ Applying Lindy Fundamentals	_____ Getting the FEEL of the Basic
_____ Styling and Syncopations	_____ Welcome to Bal-Swing
_____ Using Momentum	_____ Things Maxie Taught Valerie
	_____ Footwork Variations for the Basic, Lollies, and Crossovers

I have enclosed $_________

Name (1)____________________________________
Circle One: Lead or Follow

Name (2)____________________________________
Circle One: Lead or Follow

Address ____________________________________

City _________________ State ______ Zip ________

Phone (eve.) __________________

Phone (day) ___________________

Email _____________________________(print clearly!)

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Here are the prices:

$10/single workshop
$35/any four workshops
$60/entire weekend (all 8 workshops)

Here is the breakdown:

1 workshop $10
2 workshops $20
3 workshops $30
4 workshops $35
5 workshops $45
6 workshops $55
7 workshops $60

Please Print and Mail to:
Valerie & Marty Weekend c/o
5848 Aylesboro Ave.
Pittsburgh, PA 15217-1446

Make checks payable to “Coal Country Traditions”.