Winter WarmUp Registration
NAME:_____________________________________________
ADDRESS:__________________________________________
CITY, STATE, ZIP:_________________________________
TELEPHONE:________________________________________
EMAIL:____________________________________________
Early Bird after Nov. 15 under 25 early after Nov. 15
- Friday Night Only...........$20 ____ $22 ____ $12 ____ $15 ____
- Sat. a.m. & p.m. Workshops..$15 ____ $20 ____ $8 ____ $10 ____
- Saturday Night Only.........$20 ____ $25 ____ $16 ____ $20 ____
- Sunday all day..............$20 ____ $20 ____ $12 ____ $15 ____
- Entire Weekend..............$69 ____ $79 ____ $39 ____ $45 ____
- Total Enclosed..............$ ______ $ ______ $ ______ $ ______
Check as needed
Do NOT print my address___ phone___ email___ on attendee list.
Yes, I need housing___Sleeping bag space OK for___#of people
Prefer bed space for ___#of people.
Type and number of beds needed (twins, double, etc.)______________
I prefer: Smoking____Non-smoking____Pets OK____Allergies?______
Special needs?______
I am attending the weekend with and wish to be housed with (names)______
Please help us by registering early. Walk-ins are welcome. Registrations must be postmarked by November 17 for earlybird discount. Working scholorships are available. Please contact Beth at (614)870-7580
Print out this form and mail to the address below, with your check payable to Big Scioty Barn Dance to:
Winter WarmUp
c/o Dave Notman
5278 Timberline Road
Columbus, OH 43220-7306