ALHAMBRA NIGHT 2008 - REGISTRATION FORM
Saturday, July 19, 2008
(Please type your information in the box and print)
Send to: Conchi Madson, 3749 Davenant Avenue, Cincinnati, Ohio 45213
Name:_________________________________________ Dance Name______________________________
Address________________________________________ City:________________ Zip Code____________
Phone__________________________ E-Mail Address___________________________________________
Fee to perform at the show: $5.00 ________
Fee to purchase Flea Market table $5.00 #tables_______ ________
Attend Flea Market $5.00 ________
Classes (each is $5.00) you may pay at door #______ ________
Evening show - Adults $15 (free to performers) #______ ________
Children under 12 $5 (under 4 free) #_______ ________
Show video DVD $35 p&h included _________
TOTAL _________
Send Check to: Conchi Madson, 3749 Davenant Avenue, Cincinnati, Ohio 45213
Conchi and The Place cannot assume any liability or responsibility for loss of property or injuries incurred by you or others while you are exhibiting, entertaining, performing or otherwise participating in this event. By agreeing to participate, you assume the risk and responsibility for injuries.