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Registration Form

Cassandra Workshop

May 31 - June 1, 2008

Classes will be held at Sirrom.

No refunds; 

No video cameras allowed in studio.

Print this form and mail to:

Sirrom School of Dance, PO Box 270483, Houston, TX 77277-0483
Name
Street Address
City
State
Zip/Postal Code
Home Phone
E-mail
Sirrom Special - Cassandra Saturday and Sunday Workshop on or before 5/24/08 -- $135  (no SOS discount) $______________
Sirrom Special - Cassandra Saturday and Sunday Workshop after 5/25/08 -- $145  (no SOS discount) $______________
Cassandra Saturday class on or before 5/24/08 -- $75 ($67.50 for SOS member) $______________
Cassandra Saturday class after 5/24/08 -- $80 ($72 for SOS member) $______________

Cassandra Gala Show SOS Ticket @ $7.50 (one only)

(Performance by invitation only; performers must purchase an SOS show ticket)

 $______________
Gala Show featuring Cassandra ___ Tickets @$15 in advance ($20 at the door) $______________
Cassandra Sunday class on or before 5/24/08 -- $75 ($67.50 for SOS member) $______________
Cassandra Sunday class after 5/24/08 -- $80 ($72 for SOS member) $______________
Vashti Saturday class on or before 5/24/08 -- $60 ($54 for SOS member) $______________
Vashti Saturday class after 5/24/08 -- $70 ($63 for SOS member) $______________
Free show ticket to Cassandra Gala Show with one-day registration for both Cassandra and Vashti $______________
Free show ticket to 28th Anniversary Show featuring VASHTI with one-day registration for both Cassandra and Vashti $______________

28th Anniversary Show featuring Vashti SOS Ticket @ $7.50 (one only)

(Performance by invitation only; performers must purchase an SOS show ticket)

 $______________
28th Anniversary Show featuring Vashti ___ Tickets @$15 in advance ($20 at the door) $______________

Total Enclosed

 $______________

 

 

Payment method - Make checks payable to "Sirrom School":

Check

Credit Card
Cardholder Name
Card Number

Expiration Date

I hereby release Sirrom School of Belly Dance and the workshop instructor for any and all claims for damages or injuries which I/we may sustain while participating in any activity connected with the Seminar.  

  Date

Signature
  Date

Signature

No Refunds and No Video Cameras allowed at workshop and Gala Show.