Please register separately. An individual form is required for each participant.
Name:
Address:
Phone: ( )
**Required**
Email:
Workshop $40.00/$50.00* per person ........... $
Show: # Add. Tickets @ $5................. $
Total Enclosed ................................................. $
Disclaimer:
- No unauthorized video taping or flash photography of the workshop or show.
- Travis, Crescent Moon Dance Company Inc., Donna Carlton, and the Louisville School of Massage assume no liability or responsibility for personal injury or for loss or damage of personal property.
Signature:
Make checks payable to and mail to:
Jody Hadley
2506 Wyeth Ct
Louisville, KY 40220
*Prices:
Workshop (includes class, lunch, and show)
$40 (Pre-registration needed by April 22nd)
$50 (After April 22nd and at the door)
Show
$5 each for non-workshop attendee
Workshop fees and show tickets are non-refundable unless the event is canceled.