42st Nebraska State
Square & Round Dance Convention
Suggested
DONATION |
ADVANCED |
DOOR |
| All Events |
$25.00 |
$30.00 |
| Friday Evening |
$15.00 |
$18.00 |
| All Saturday |
$18.00 |
$20.00 |
| Saturday Night |
$15.00 |
$18.00 |
| Youth(16 & Under) |
1/2 Price |
1/2 Price |
Square Dance Attire is appropriate for
all dance activities
Spectators Welcome
|
|
|
Send Registration(s) to
Registration Directors:
NEBRASKA SQ & RD DANCE CONVENTION
P.O. Box 793
Norfolk, NE 68702
Deadline for Advanced Registration and Refund September 1, 2012
Enclose Self-Addressed Stamped Business Size Envelope
Make Checks Payable to:
2012 NEBRASKA SQ & RD DANCE CONVENTION
|
|
CONVENTION REGISTRATION
(PRINT CLEARLY)
All Events_____ Fri. Evening_____ All Sat. _____
Last Name ______________________ His 1st Name ___________
Address ________________________ Her 1st Name ___________
City ____________________________ Youth Dancer ___________
State ___________ ZIP ____________ Youth Dancer ___________
| Please check your Nebraska Federation or other State: |
|
Northeast _____ |
Eastern _____ |
Central _____ |
Southeast _____ |
Panhandle _____ |
Western _____ |
State: ____________________________ |
Total Donation Enclosed: $______________ |
|
CAMPING REGISTRATION
(ADAMS COUNTY FAIRGROUNDS)
Name _____________________________
Address____________________________
City ___________ State ____ ZIP ______
Full Hookup at $23.00 per night ---
up to 20 units available |
Fri. _____ |
Sat. _____ |
Power & Water at $19.00 per night ---
80 or more units available |
Fri. _____ |
Sat. _____ |
Power Only at $13.00 per night ---
40 or more units available |
Fri. _____ |
Sat. _____ |
| Site Only (No Hookups) at $6.00 per night |
Fri. _____ |
Sat. _____ |
Total Camping Fees Enclosed: $__________
|
Campers: The above camping form must be used for reserving spots at the
Fairgrounds on Friday or Saturday nights.
Callers, Cuers: If you want to participate in the program,
please register by completing
The Caller/Cuer form or
by contacting
John Orlowski, 55506 827 1/2 Road,
Madison, NE 68748 (402) 454-3487
Note: The registration deadline is July 1, 2012.
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