Balance the Bay Registration Form

Your name:

Address:

City: State:  Zip: 

E-mail:

Phone: Name tag: 

M F  Preferred dance role: lead follow both

I am registering with

On the roster, do not list my  name street address city   phone   E-mail address.  

Volunteering: Balance the Bay needs and appreciates its many volunteers.

I'd be happy to help out with:  food   set-up   clean-up   info/sales table   whatever (feel free to fill in your work preference below).

Work Trade: We have a number of opportunities for you to do more work in exchange for a discounted registration fee:

I want to apply for a work-trade (deduct $25 from the registration fee).

I'd be interested in a bigger discount for even more work. Contact me.

Work preference:  food   set-up   clean-up   info/sales table   whatever
Volunteer/Work-trade Comments:

Dietary Restrictions: We are including a sit-down dinner Saturday evening in the price of the weekend. Please tell us if any of these restrictions apply to your diet: 
vegetarian   vegan   dairy-free   wheat-free  

Shared Housing: I NEED / CAN PROVIDE housing for
Men: #   Women: #   Couples: #

Shared beds for #   Separate beds for #   Floor/dormitory space for #

I'm traveling with . Please find housing for us together.

Comments/Special Needs: (Tell us about any relevant concerns: allergies, pets, etc.)

T-shirts and Totes: Pre-order your T-shirt or Tote Bag and save money. The price for either is $12 until July 1, and $17 afterwards.

Men's T-shirt: #   Sizes:

Women's T-shirt: #   Sizes:

Tote Bag: #

Other Notes:  

Select payment option:

• Check payable to BACDS , mailed to Balance the Bay, 5124 Cochrane Ave, Oakland, CA 94618-2706 (sorry, online payment is not yet available)
• No payment required. This is a correction to an earlier registration. (if you have only a minor correction to make, rather than fill out the whole form again, just E-mail the registrar).

Please double-check your form to make sure it is correct before you press the "send" button.