WASCA 45th Spring Square and Round Dance Festival

Wearin' O' Green

March 18, 19, 20,  2004 --  Reston, Virginia

Festival Registration

Last Name:  _______________________________His First Name:  ______________________  Hers:  _____________________

Address:  ________________________________________Child: _______________________ Child:  _____________________

City:  ____________________________________________    [   ]  Solo      [   ]Do Not include me in the Solo Directory

State: _____ Zip: _________________________              Phone Number: ( ______ )________________________________

Email: _____________________________________________________________________________________

Squares:   [  ] Mainstream    [  ] Plus   [  ] Advanced 1   [  ] Advanced 2                       Rounds:   [  ]  II   [  ]  III    [  ] IV   [  ] V   [  ] VI

Club Affiliation(s): _________________________________________________________________________________________

=  $  _______________

_____ Adults at $35.00

=  $  _______________

_____ Children 17 or under at $10.00

=  $  _______________

_____ Yearly Subscription to Call 'n' Cues magazine - $12

Amount Enclosed

=  $  _______________

Please indicate method of payment:    [   ] Cash     [   ] Check    [   ] Money Order    [   ] Visa    [   ] Mastercard

Credit Card Number:  ___________________________            Expiration Date: ________________

Signature:  ________________________________________________________

Please make checks and money orders payable to WASCA. Mail to:

Evie Thume 6708 Kerman Court Seabrook, MD  20706

Phone: 301-794-4366              Email: thumee@adventist.org