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*Registration form* 2010 Midwest Dance Retreat Love Beyond Love: A Celebration of the Midwest Dance Community May 21 - 23 Bethel Horizons, Dodgeville Wisconsin 4651 County Highway ZZ Dodgeville, WI 53533 Times: Plan to arrive Friday after 5:30 pm. Dinner 6 pm. Dancing 7:15 pm, Thru Sunday ending after lunch at 1 pm. Food: All meals are prepared by the Bethel staff. Please choose regular or vegetarian meals. Weekend includes meals and snacks from Friday dinner thru Sunday lunch. If you require special food please bring what you need. For a sample menu contact registrar. Housing: Linens and pillows are provided. Rooms are shared with each room having its own bathroom and shower. Please let registrar know any special needs. Camping is available. Name(s) ______________________________ Meal preference: E-mail: _______________________________ ___ Regular Phone number(s) ________________________ ___ Vegetarian ________________________ ___ Full Weekend with housing and meals $150.00 ___ Deposit:$50.00 ___ Full Weekend with camping and meals $100.00 Due: April 15th ___ Commuter full weekend including meals $75.00 (Remainder of payment ___ Commuter including meals: Friday $20, Sat. $60, Sunday $40 due May 10) Make check payable to SACRED PEACE DANCERS Mail to: Carolyn DeMots Questions, Concerns: 4831 Conrad, apt 3D midwestdancecamp@gmail.com Skokie, Il 60077 or (847) 568 0588 a map and directions will be sent with registration confirmation I am a certified or supervised leader and would like to lead the following Dance(s): _________________________________________________________________ I would like to support the dances with musicianship: __ guitar __ drum other __ |
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