2012DANCE! DANCE! DANCE!

Colorado Springs, Colorado

LINE DANCIN’ WORKSHOP WITH…

Junior Willis

Jamie Marshall

Amy Christian-Sohn

Karen Hedges

Judy Yamakishi

Barb Thacker

DJs Machelle Cook-Halloway and Scott Grace

May 18, 19 & 20, 2012

Crown Plaza Hotel

2886 South Circle Drive

Colorado Springs, CO80906

SPONSORED BY COWBOY’S-FREE STEAK OR CHICKEN DINNER/DANCE PARTY AT COWBOY’S FRIDAY MAY 18, 2012

Beginner or More Advanced Dancer?

All dance levels are welcome

ASCAP, BMI and SESAC licensed

DANCE! DANCE! DANCE! May 18, 19 20, 2012

Name(s)______

Address______

City, State, Zip Code______

Telephone Number(s)______

E-Mail______

To help our instructor staff in their workshop selections, please specify level of dances you would like taught.

______Beginner ______Adv. Beginner ______Intermediate ______Advanced

.NOTE: At the door registrations will include an additional $5 service fee to cover additions/changes at the venue. / Before
Dec 31st / After
Jan 1st / Quantity/ Size(s) / Total Amount
Weekend Pass: (Includes: Friday Night Welcome Back Party sponsored by Cowboy’s, Saturday night party, all weekend workshops, step book, and 2 door prize tickets.) / $75
_____ / $85
_____
Saturday Only: (Includes: Friday Night Welcome Back Party sponsored by Cowboy’s, Sat Night Party, Saturday workshops, step book and one door prize ticket.) / $45
_____ / $55
_____
Sunday Only: (Includes: Fri Night Welcome Back Party sponsored by Cowboy’s), Sunday workshops, step book, and one door prize ticket) / $40
_____ / $50
_____
GuestPass for Saturday Night: $10 per person(if not attending workshop)
Souvenir T-Shirt:$15 each: SPECIFY- Women’s / Men’s S, M, L
Souvenir T-Shirt: $20 each:SPECIFY- Women’s / Men’s XL-3X
Workshop DVD: $40(no taping will be allowed during workshop)
TOTAL ENCLOSED

I/We, the undersigned, agree to hold harmless DANCE! DANCE! DANCE! Dancers, its organizers, venue, agents, or employees from any and all suits, claims, and demands of every kind or character arising out of or in connection with this event and authorize the sale, exhibition, or broadcast of videotapes and photographs without limitations.I certify that I am (we are) 18 years of age or older, or if under 18 years of age, parent or legal guardian has signed below.

______

Attendee(s) and if applicable, parent or Legal Guardian Signature(s)Date of Birth (MM/YY) Date Signed

______

Attendee(s) and if applicable, parent or Legal Guardian Signature(s)Date of Birth (MM/YY) Date Signed

Send signed registration & your check or money order to:

Betty Moses-DANCE! DANCE! DANCE! Line Dance Workshop

2508 Andromeda Drive, Colorado Springs, CO80906

Contact Info: 719-633-0525; ;

*****No refunds will be issued for any reason after January 1st, 2012*****

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To try to ensure a good variety of dances and music during open dance sessions, please take a moment to list a couple of your favorite dances on the back of your registration. Be sure to include dance name, choreographer, song and artist

(ASCAP/BMI/SESACcopyright rules apply!)