REGISTRATION FORM MICHIGAN DANCE FUN WEEKEND 2002
Central Michigan University - Student Activity Center - May 17-19, 2002

Save $5.00 on WEEKEND PASS - Register Prior to April 1, 2002! Children 12 & under free with paid admission of parent or guardian. Student-Youth: Age 13+ Special 1/2 price Activity Fee. 
Please Send Registration Form for Each Person Attending  

Name____________________________________ Phone (__)_____________ Date ____________

Address __________________________________City ________________ State_________ Zip _______

Weekend Pass:
Before April 1, 2001 [Includes Dance Sheet Booklet & Evening Dances] $40.00:___________
After April 1, 2001 [Includes Dance Sheet Booklet & Evening Dances] $45.00:  ___________

Saturday [Workshop Only] $30.00: __________________
Sunday [Workshop Only]   $15.00: __________________
Friday Evening Dance $7.00:          __________________
Saturday Evening Dance $7.00:     __________________

TOTAL AMOUNT ENCLOSED:      __________________

Check or M.O. #__________________ Cash: _______US Funds Payable to MICHIGAN DANCE FUN WEEKEND

I'm willing to volunteer my services at the Michigan Dance Fun Weekend.  ___yes ___no

Liability Waiver: By signing this form I agree to hold the organizers of this event and their agents harmless from all suits, claims, or demands of every kind and character arising out of and in conjunction with this event. I hereby authorize the reproduction, sale, copyright, exhibitions, broadcast and or distribution of videotapes and photographs, without limitations. I certify that I am 18 years of age or older (applies to legal guardian if under 18 years of age). I certify that the signature below is my own. Signature of workshop participants or dance participants, spectators or their guardian is required.

Sign Here __________________________________________________________

MAIL CHECK & APPLICATION TO:
MICHIGAN DANCE FUN WEEKEND % Dale Parish 879 N College Rd. Mason MI 48854-9325