Registration

Name 1 _______________________________________

Male

Female Fee __________

Please Print Clearly

Name 2 _______________________________________

Male

Female Fee __________

Street _________________________________________ Total__________

City _______________________________ State ________ Zip ____________ (Check to PCDC)

Phone 1 - daytime _______________________ evening ______________________

Phone 2 - daytime _______________________ evening ______________________

Email 1 _________________________________________

Please Print Clearly

Email 2 _________________________________________

I would like my contact information listed on the camp roster.

Yes

No

(Contact information on roster may be shared with other dance event organizers.)

To reduce our expenses, all of our communications to you will be via e-mail.

Housing (please check all applicable items)

LOCAL DANCERS (Please consider making new friends by hosting dancers from out of town.)

I can provide housing for _____ single(s) or _____ couple(s) Prefer:

Male

Female

Either

Environment:

Smoking

Nonsmoking

Cat(s)

Dog(s)

Children

I have:

Single bed

Full/Queen/King bed

Futon

Floor space

I can provide local transportation or airport pick-up.

OUT OF TOWN DANCERS

I Need Housing for:

Single or

Couple Prefer:

Male

Female

Either

Special Requests:

Smoking

Nonsmoking

Cat Allergy

Dog Allergy

Children Allergy

I will need local transportation or airport pick-up.

Registration Fees

General PCDC Members Students

Postmarked by Feb. 29th $105 $100 $80

Postmarked after Feb. 29th $125 $120 $100

HOW TO REGISTER

Download the .pdf of this form, print it, fill it out and mail it in.

Full payment is due with your registration. We will hold your check until you are admitted.

There will be a lottery of all applications postmarked by February 29th, 2008. After that you will be placed on a waiting list. The weekend will be gender balanced. People signing up as a couple must apply together on one sheet. Make checks out to PCDC.

Refund Policy If you must cancel, $15 will be retained to cover costs. If you cancel after April 1st the full fee will be retained unless we are able to fill your place from the waiting list.

Portland Raindance

PO Box 2189

Portland, OR, 97208

Mail to:

© Portland Country Dance Community