Thank you for registering. Please keep the following event rules in mind.
| PRINT CAREFULLY! We will confirm your registration by email or phone. | |||
|---|---|---|---|
| Name: Phone Number(s): Email: Address: | |||
| I understand that there can be risks involved in participating in public dance classes and dance concerts. In return for the educational opportunity that this Workshop and Concert provides, I agree to act in a safe and appropriate manner at all times and to hold MEDSOK, Karim Nagi, Clifton Center, and the venue providers and event organizers harmless in case of damage, loss or injury incurred by or during my participation. Signature: _______________________________ Name: _____________________________ Date: ___________ | |||
| MEDSOK members: If you join when you register, pay Member prices. |
General Public |
Total | |
| Sep 08 - Aug 09 MEDSOK membership | $20 | $20 | $_____ |
| Sat Workshop BY 10/15: free canes! | $60 | $80 | $_____ |
| Sat Workshop AFTER 10/15 - no canes! | $60 | $80 | $_____ |
| I wish to perform in the Concert | Solo / Troupe | $_____ | |
| Saturday Concert Tickets | ___@ $5 | ___@ $10 | $_____ |
| Sunday Workshop (limited registration) | $35 | $40 | $_____ |
| Subtract Teacher discount ($10/student if teacher registers 3 or more students): | <_____> | ||
| TOTAL DUE MEDSOK | $_____ | ||