CHEHALIS 2010 DANCE CAMP APPLICATION
NAME __________________________________________________
Address ____________________________________________________________________________________
Email ____________________________________________________
Phone (H) _____________________ (W) _____________________
NAME __________________________________________________
Address ____________________________________________________________________________________
Email ____________________________________________________
Phone (H) _____________________ (W) _____________________
#Females:____ #Males:____ #Couples:_____
#Omnivores:_____ #Vegetarians:_____ #Vegans:______
Include my name/address on participants list (Y/N): ____
I need a ride from _________________________________
I can give a ride from ______________________________
I can drive or billet talent (specify - Thanks!!) _______________________________________________
| $Cdn/US at par | ||||
| Adults | before Aug 27 | ____@ $215 | = | _________ |
| after Aug 27 | ____@ $235 | = | _________ | |
| Children | age 5-12 | ____@ $105 | = | _________ |
| age 0-4 | ____@ free | |||
| Ferry tickets | car + driver | ____@ $44 | = | _________ |
| adult passenger | ____@ $11 | = | _________ | |
| Private room | (phone for availability first!) | |||
| ***per person cost*** | ____@ $30 | = | _________ | |
| CDSS members | discount | ____@ $5 | - | _________ |
| Scholarship | request | (max $100) | - | _________ |
| donation | (any amount) | + | _________ | |
| TOTAL ENCLOSED | = | _________ | ||
Mail application with cheque payable to:
Vancouver Country Dance
2984 Turner St., Vancouver BC, V5K 2G7