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VISCDS Workshop and Ball is April 6, 2019

Thank you for your interest in attending our Workshop and Ball.

To reserve your spot, please fill out the information below.

First Name * 🛈

Last Name *

Address

City

Province

Postal Code

Telephone *

Email Address *

Activities Attending (select all that apply) *

Workshop

Ball

If you have any allergies (including food) please describe them in detail so the organizers and participants can be made aware if necessary. *

yes, if yes (please specify) yes, if yes (please specify)

If attending the Workshop, please select a level 🛈

Basic

Intermediate

Experienced

Are you interested in being billeted by a local dancer during this event?

Are you able to billet a visiting dancer?

Please feel free to add any additional information. To contact the Workshop and Ball Registrar send an email to: viscdsball@gmail.com

By checking below I accept and assume full responsibility for all losses, costs and damages I may incur as a result of my participation in this event, and do hereby hold harmless, release and forever discharge the Vancouver Island Scottish Country Dance Society, its Officers, Directors, and Committee Members, from any and all claims and demands, loss, or injury, resulting from, or arising out of, my participation in this event. *

yes

Get Ready to Pay
[Although you will be directed to the PayPal page-you do not need a PayPal account: you may select the option to pay with credit or debit and proceed to a "guest" page to complete the transaction] * 🛈

Workshop ($50)

Ball ($55)

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