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OFF THE CURB'S
HIP HOP DANCE CONFERENCE
Registration Form

LOCATION:
Sunday, February 27, 2005
8:00am - 4:00pm
At Festival Ballet Studio
FOR MORE INFOMATION:
401-849-1118
offthecurb@offthecurb.com
Make Checks Payable to:
SOS/Off the Curb
And mail to:
PO Box 415
Newport, RI 02840

CONFERENCE RATES:
Early Bird
Register by February 11
Individual - $50.00
Group* (8 or more) $45.00 each
After February 11:
Individual - $55.00
Group* (8 or more) $45.00 each
*Group payments must be received together!


Name___________________________________________Age_____
Address
Street______________________________
City, State, Zip_________________________________________
Phone__________________     Email___________________________
Studio (if applicable)__________________________________________
This is a waiver to release any liability of injury, harm etc from Off the Curb and/or the Festival Ballet.
Signature__________________________________Date___________
(If under 18, must be signed by parent or guardian!)
Number of people attending conference: ______
Total Amount Enclosed: _________________