Saturday, March 19, 2005 Level III Lindy Workshop Online Registration Form (Payment Online via PayPal or by check through snail-mail) If you are under 18: You may attend our workshop for $33 (flat price, not pre-paid, no other discounts). Please register as normal and make sure to check that you are under 18 years of age. Please make sure your legal guardian signs the waiver (either at the workshop or by printing one out for him or her to sign and then bringing that to the workshop) Refund/Exchange Policy:: You are entitled to a refund if we are notified via phone call (323.459.2303) at least 72 hours prior to the workshop start time. This 72 hour deadline is Wednesday, March 16th, 2005 @ 1:00pm. Within 72 hours o f the workshop start time you are entitled to credit towards a future lesson or workshop THIS WORKSHOP IS LIMITED TO 10 LEADS AND 10 FOLLOWS! Click Here to See Workshop Description and Details Your spot is held when we receive your payment. If the workshop is already full we will refund your payment and put you on a waiting list. Thanks very much!
First Name:
Last Name:
Email Address:
Age:	18 and Over under 18
Lead or Follow:	Lead Follow
Workshop:	Intermediate/Advanced: March 19, 2005 $55 per person
Payment Method:
How Did You Hear About This Workshop?
	Ben and Sheri (in general) Francisco and Stacey LASwingInfo.com LindyGroove LindyHopping.Com Nocturne.Com Ben and Sheri (One2Swing Mailing List) Ben and Sheri (Private and Group Lesson) Other:
What do you hope to get out of this workshop?
Or tell us your favorite joke... :)
You will need to sign a waiver as part of the registration process. These waivers will be avaliable at the workshop or you can print one out and bring it with you.