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

Lindy Hop Workshop
with the Swinging Air Force:
Sat 15 to Sun 16 Feb 2003

Registration Form

 Please make cheques payable to:
Queen's Swing Club Treasurer
15 West St.
Kingston ON K7L 2S2

Please register only for classes within your skill level. If you register for any Beginner classes you cannot register for any Advanced classes. Please note that class prices increase $2/class starting 11:00PM Thursday 6 February.

If you are taking the Aerials class, you must enter your partner's name. Your Aerials partner must register seperately and enter you as a partner. Although we will accept Aerials partners at different skill levels, we cannot accept Aerials registrants who do not have a partner.

Please circle all prices that apply. Please remember to fill out a separate form for each individual. All workshop information can be found at http://myams.org/swing/workshops/saf200302/.

Beginner: Lindy Hop dancing and lessons for less than one year.

Class Early (postmarked before 11pm Thu 6 Feb) Late (postmarked on or after 11pm Thu 6 Feb)
Members Non-members Members Non-members
Lindy Hop 1 $10 $12 $12 $14
Jazz $10 $12 $12 $14
Aerials (partner required below)
 		$10 $12 $12 $14
Aerials Partner Name:  
Lindy Hop 2 (requires LH1) $10 $12 $12 $14
Charleston 1 $10 $12 $12 $14
Charleston 2 (requires C1) $10 $12 $12 $14
Shag $10 $12 $12 $14
Musicality and Movement $10 $12 $12 $14

Advanced: Lots of social Lindy Hop dancing, lessons and workshops for at least one year.

Class Early (postmarked before 11pm Thu 6 Feb) Late (postmarked on or after 11pm Thu 6 Feb)
Members Non-members Members Non-members
Adv. Lindy Hop 1 $10 $12 $12 $14
Jazz $10 $12 $12 $14
Aerials (partner required below)
 		$10 $12 $12 $14
Aerials Partner Name:  
Adv. Lindy Hop 2 (requires ALH1) $10 $12 $12 $14
Charleston $10 $12 $12 $14
Performance Swing $10 $12 $12 $14
Shag $10 $12 $12 $14
Musicality and Movement $10 $12 $12 $14

Dance Ticket (circle)
Saturday Night with Paul Chabot, from 9:30pm to 1:00am: Purchase your ticket now! (price is $10 for non-registrants)
 $8
Saturday Lunch: Subway Sandwich plus pop/juice $6 Sunday Lunch: Common Ground Sandwich plus pop/juice $6

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 6 Feb.
   50% of the amount enclosed from 11pm, Thu 6 Feb until 11pm, Thu 13 Feb.
No refunds for dance classes can be made after 11pm, Thu 13 Feb.

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: