Balance the Bay Registration Form

Full name:

Address:

City: State:  Zip: 

E-mail:

Phone: Name tag: 

M   F   Unspecified
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  
Please do not share my E-mail address with
   BACDS (BTB sponsor)     other dance organizations  

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

I'd be happy to help out with:  food   set-up   clean-up   whatever

Work Trade: Work-trade positions are available for folks who are willing to miss some dancing in exchange for a discount ($40 for approximately 2 hours of work). Additional work trade may be available by arrrangement.

I’m interested in a regular $40 work-trade.

I’d like more work for a bigger discount, if it’s OK.

Food Restrictions: We are including a sit-down dinner Saturday evening in the price of the weekend. Please indicate dietary restrictions:
   vegetarian    vegan    dairy-free    gluten-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: Pre-order your T-shirt and save money. The price is $12 until July 1, and $17 afterwards.

Men's T-shirt: #   Sizes:

Women's T-shirt: #   Sizes:

Other Notes:  

Select payment option: (your registration is not complete until we receive your payment)

• Check payable to BACDS , mailed to Balance the Bay, 3462 Figueroa Drive, San Leandro, CA 94578
• 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.

THIS IS NOT THE CURRENT REGISTRATION FORM. DO NOT SUBMIT IT.