Dance Awakening Dance Camp   April 9-11, 2010

4585 Casitas Pass Rd. Ventura CA 93001

www.danceawakening.com

(Application must be postmarked no earlier than Nov 9th 2009)

  

Name _______________________ Male ___ Female ___ Vegetarian ___

Street ______________________________________________________

City ________________________________ State ______ Zip _________

Phone _______________ Email ________________________________

(Please omit from roster :  Phone ____ Address ____ Email ____) 

Name _______________________ Male ___ Female ___ Vegetarian  ___

Street ______________________________________________________

City ________________________________ State ______ Zip _________

Phone _______________ Email _________________________________

(Please omit from roster :  Phone ____ Address ____ Email ____)      

Carpool info _____

1/2 off Work Scholarships may be available. If interested we will send info___

T-Shirts :  XL ____ L ____ M ____ @  $17 ea.  

Total amount enclosed ______________

Cost per person is $260. A deposit of $50 per person will hold your space with full payment due no later than March 9th, 2010.

Notification of placement will be emailed within 2 weeks of receiving application.