Black Hills Dance Festival Registration Form '2010
Early Registration (By April 1st) for the "Event Pass"
(Friday & Saturday) $60.00

Name

Address

City/State/Zip

Phone

Work

Email

Number of adult (Over 18) weekend (Fri.-Sat.) passes purchasing Early by April 01, 2009 at $60.00 ea.

Number of adult (Over 18) weekend (Fri.-Sat.) passes purchasing at $70.00 ea.

Number of adult (Saturday only) passes purchasing at $45.00 ea.

Number of (under 18) weekend (Fri.-Sat.) passes purchasing at $50.00 ea.

Number of (under 18) Saturday only passes purchasing at $35.00 ea.

Number of indiviual dance or workshop passes purchasing at $10.00 ea.

"Name Tag" Name(s)

Dance Background,
Name of a dance club?
Do you have an interest in teaching at the BHDF events

 

Please check areas in which you would like to help.

Board Position Check-In/Regristration Photography or Video Event brocures/tickets
Solicit Advertising Mailings Web site Event Setup/Takedown
CleanupDJ or MC Jig-a-lo Other
Early Registration Adult (Eighteen or older) $60 for Wkend (Fri. -Sat.) event pass per-person.  
Adult (Eighteen or older) $70 for Wkend (Fri. -Sat.) event pass per-person.  
Adult (Eighteen or older) $45 for Saturday Only event pass per-person.
Under 18 $50 for Wkend (Fri. -Sat.) event pass per-person.
Under 18 $35 for Saturday Only event pass per-person.
Indiviual dance or workshop (Thurs., Fri. & Sat.)

$10 each

Amount Enclosed  $

When completed, click on the "PRINT" button near the top of your browser.
Please make checks payable to:   Black Hills Dance Company
Mail to:  Black Hills Dance Company,   3615 Lime Creek Dr.,    Rapid City,     SD 57702
Email: twmarvin60@hotmail.com Or call terry at (605)341-1285

     Official Use Only     

Date Entered                                    Name tag completed