Saturday, Marchl 29^th, 2003

Registration Fees:

Early Registration (postmarked by March 5, 2003): $20.00 per competitor
Regular Registration: $25.00 per competitor

Name:_________________________________ I will be dancing as… M F (circle one)

Address:_______________________________ Phone:_______________________

______________________________________ Email:_______________________

______________________________________ Club Name:___________________

Circle Dances in which you will be competing:

Fox Trot	Swing/Jive
Waltz	Rumba (Intl. or Am.)
Tango	Mambo
V. Waltz	Cha-Cha
Quickstep	Samba
	Bolero

CLUB DANCES :

Nightclub Two-Step	Salsa
Hustle	Merengue
West Coast Swing

Jack and Jill Competition: Yes No

Please Return this page with payment to:

Anne Snyder

301 East LaSalle Ave., Apt. B205

South Bend, IN 46617

asnyder1@nd.edu / (574) 229-6270