Registration form
April Choreography Workshop with Helena and Yaro
April 9, 2011
The Fuse Dance Center, Binghamton, NY
$30 pre-pay by April 1, 2011, $35 at the door (cash only, at the door, please!)
Name: ________________________________________________
phone: ___________________________
email: ________________________________________________
cell phone: _________________________
Address:
___________________________________________________________________________________
Check amount: $___________________ check number: ___________________
Please make checks payable to: J. H. Smart
Mail along with registration form to: Egyptian Twist Studio of Bellydance, 819 Stanley
Lake Rd., Friendsville, PA 18818
Teachers with 3 students receive 50% off, with 5 students or more, receive workshop
for free!