Name: I am a (circle one):     leader       follower

Lindy Hop Workshop
with Cat's Corner Dance Productions:
Sat 15 to Sun 16 Mar 2003

 Please make cheques payable to:
Queen's Swing Club Treasurer
15 West St.
Kingston ON K7L 2S2
Please note that class prices increase $2/class starting 11:00PM Thursday 13 March. Please remember to fill out a separate form for each individual. All workshop information can be found at http://myams.org/swing/workshops/cc200303/.

Please circle your skill level.
Beginner Lindy Hop dancing and lessons for less than one year.
Advanced Lots of social Lindy Hop dancing, lessons and workshops for at least one year.
Please circle all prices that apply.
Day Class Early (postmarked before 11pm Thu 13 Mar) Late (postmarked on or after 11pm Thu 13 Mar)
Members Non-members Members Non-members
S
a
t
Balboa 1 $10 $12 $12 $14
Balboa 2 (requires Bal 1) $10 $12 $12 $14
Balboa 3 (requires Bal 2) $10 $12 $12 $14
Shim Sham $10 $12 $12 $14
S
u
n
Lindy Hop 1 $10 $12 $12 $14
Lindy Hop 2 (requires LH1) $10 $12 $12 $14
Blues $10 $12 $12 $14
Lindy Hop 3 (requires LH2, open to Advanced only) $10 $12 $12 $14
Dance Ticket (circle)
Saturday Night with Spencer Evans, from 9:30pm to 1:00am: Purchase your ticket now! ($10 for non-reg's)		 $8

Your Information

Amount Enclosed:  
I am a (circle one): leader               follower
Member Number (to receive the membership price)
Name:  
Email:  
Phone: daytime: evening:
Address: Apt.              
Postal/ZIP Code:   Country:

Refund Policy

Refund requests must be made to the Queen's Swing Club Treasurer
phone: 613-542-4607     email: 0hw4@qlink.queensu.ca
We will refund: 100% of the amount enclosed before 11pm, Thu 13 Mar, 50% from 11pm, Thu 13 Mar until 11pm, Fri 14 Mar. No refunds for dance classes can be made after 11pm, Fri 14 Mar.

Waiver

I agree to waive any damage rights I or my heirs may have against the Queen's Swing Club, the Alma Mater Society of Queen's University or their agents for any and all injury and damages I may suffer by participating in the workshop or dances at any location.
Please Sign: