Registration for:

 Two Days of Dance Workshop

with

Princess Farhana of Hollywood!

Saturday, October 23         

9am              registration and browsing product

10:30am      Drama queen stage presentation                       

12:30pm      lunch break, vendor tables open                           

 1:30pm      A bit o' Burley!

(some burlesque basic and advanced moves)                 

$155 for Saturday only

Sunday, October 24

11am-2pm    Advanced Sword Techniques   

$75 for Sunday only

Total of $230 price at the door discounted to ONLY    $215   BOTH DAYS when registered and paid before workshop weekend

 EARLY BIRD PRICE FOR BOTH DAYS BY SEPTEMBER 23:        

**$185 **

 Name:

Cheque or money order :

Amount sending: $

 Addresss:

 Tel #

Email:

*any NSF  cheques will be charged $15 extra, with class payable only in cash; $230 combo price at the door

 As usual, we ask that you are aware of any of your own personal medical concerns and/or that you ensure that you have your doctor’s permission for any new physical activity you would like to undertake, responsibility lies with you in caring for your physical being.  

WAIVER: You will be asked to sign the usual standard waiver at the workshop.   Registration is non-refundable; non-transferable  

_______________________________/_____________________________________Date________________

Printed Name    ( legal guardian)               / Signature                                                   

 cheques or money orders made out to:

      Jennifer (Jannah) Smith     

Jannahdancer

                25 Sheffield St., unit 4    

                     Cambridge, ON    N3C 1C4

or email funds to:   jannahdancer@rogers.com