Fontana Clogging Jamboree

Registration Form

Print this form on your printer and fill it out and return it with your payment to be registered for the Fontana Clogging Jamboree.    You will be mailed a confirmation in the weeks prior to the event, along with a newsletter and useful information about Fontana and the jamboree.

Name____________________________________________________________

Team/Studio Name_________________________________________________
Address__________________________________________________________
City_______________________ST/Prov_______Postal Code_______________

Phone___________________________________________________________
Email Address____________________________________________________

Would your group like to exhibition or perform a skit Saturday evening?
YES! We would like to perform: ____Exhibition _____Skit
Group Name_______________________________________________
Number of participants _____ Ages of group ______________________

_____    Dancers @ $30.00 (before September 1, 2009)        $____________
_____    Dancers @ $35.00 (After September 1, 2009)          $____________
_____    Spectators @ $10.00 (all weekend pass)                   $____________
_____    Syllabus @ $7.00                                                    $____________
_____    Video Camera Pass @ $10.00                                 $____________
_____    Fontana Clogging Jamboree Tshirt @ $15.00            $____________

Specify Sizes ___S  ___M  ___L  ___XL  ___2X                          
 

TOTAL AMOUNT ENCLOSED                                               $____________

Please make checks payable to: Fontana Clogging Jamboree
 

and mail completed form with payment to:
Fontana Clogging Jamboree
P. O. Box 1352
St. Albans, WV 25177

See pictures from previous Fontana Jamborees

2003     2004     2005     2006     2007    2008