Morocco Workshops and Show Registration Form
NAME(S)_________________________________________
E-MAIL ADDRESS________________________________________________
ADDRESS__________________________CITY/STATE/ZIP________________
PHONE______________
| COST: | Until September 15, 2005 |
After September 15, 2005 |
| Saturday Workshop | $50.00 | $65.00 |
| Sunday Workshop | $50.00 | $65.00 |
| Both Workshops | $90.00 | $120.00 |
| Evening Show | $12.00 | $12.00 |
Credit Cards Now Accepted
Credit Card Number_______________________ Expiration__________
Please make checks payable to JAREEDA, P.O. Box 680, Sutherlin, OR 97479
All fees are non-refundable unless filled to capacity. Prepaid registration and show tickets will be held at the door.
I hereby release Jareeda, Mezdulene, Mystical Oasis Dance Company, 7 Feathers and all workers from any and all liability for loss or injury incurred in association with the workshop and performances.
SIGNATURE__________________________________DATE_______________