To register for Dance-A-Rama 2002, please print out, fill out, and mail a separate copy of this form along with a check for the full fee for each person payable to Dance-A-Rama, P.O. Box 602, Belchertown, MA, 01007.

Dance-A-Rama
May 17 – 19
2002

Cancellation Policy:

If you notify us on or
before April 15 that
you cannot attend:

Your full fee is refunded.

If you notify us between
April 16 – 30:

$20 is non-refundable.

If you notify us between
May 1 – 10:

$35 is non-refundable.

If you notify us on or after May 11:

Entire fee is
non-refundable.

Questions?

George 413-323-9604

David or Ann
413-772-6840

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NAME
ADDRESS
CITY • STATE or PROVINCE • ZIP
DAY PHONE • EVE PHONE
E-MAIL ADDRESS
EMERGENCY CONTACT • RELATIONSHIP • PHONE

Rates are per person and include six meals, lodging, music and dance program and activities.

Please indicate your preferences:

Housing:

Double occupancy — $279

Triple occupancy — $249

Quadruple occupancy — $239

Tenting — $195 (limited availability)


Food:

Omnivore

No Red Meat

Vegetarian

Roommate/Cabinmate(s):

(If no preference is indicated we’ll assign you roommates)