Winter Dance Weekend Registration

Instructions

First Name *

Last Name *

Email *

Phone

Address

City

State

Zip

Are You a Contra Borealis Dancers member?

Members receive $5 off their registration for the weekendYesNoNo, but I'll purchase one ($15 young adults 25 or younger, $20 adults)

Dietary restrictions/preferences

We will be hosting a 'bring if you can' potluck Saturday night. We will do our best to accommodate dietary preferences, but cannot guarantee availability.NoneVegetarianVeganGluten freeKosherOther

If you are coming from out of town, would you like housing assistance?

YesNo

Thursday House Concert

Would you like to to purchase a ticket to the Thursday night house concert with Max Newman and Julie Metcalf?Yes, I will add $15 to my registration fee

Registration fees

$75 Weekend 35 and older, non-members$70 Weekend 35 and older, Contra Borealis members$45 Weekend Under 35, for non-members$40 Weekend Under 35, for Contra Borealis membersUnder 16: Free!Contra Borealis Dancers membership: $20 for 26 years of age and older / $15 for younger folks$15 Thursday night concert all ages

Payment

If by check, mail to:

Contra Borealis Dancers. Box 84084, Fairbanks, AK 99708

--- Refund policy: Contact David Kreiss-Tomkins at 907-738-5883 or events@contraborealis.org for a refund of registration fees. Full refunds are available before January 15th, 2018; half your registration fee is refunded afterward.Paying by checkPaypal/credit card

Total Amount Due

Contra Borealis Dancers

Fairbanks, Alaska

Winter Dance Weekend Registration

Registration for Winter Dance Weekend

Verification