Michigan Dance Heritage Fall Dance Camp

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To register, fill in all information on this form, print out the form, and mail it in with your payment.

MDH Fall Camp Registration Form

Use one form per person.

Male Female
Name:
Address:
City:	State: Zip:
Phone:	E-mail:
Please do not print my address, phone, e-mail in the camp participant list.
I can be at camp by 6 pm and am interested in being a greeter.
I am willing to pick up out-of-town guests who arrive at Detroit Metro Airport on Friday afternoon.
Dietary Preference: Omnivore Vegetarian
Allergies:
Housing:	Female Male Coed Camping Off-site (self-arranged, no discount)
Payment:	Enclose payment with registration. Make checks payable to MDH.
	$160 (a weekend of dancing, food, and lodging)
	$150 (bring a friend new to MDH Fall Camp) Name of new camper or friend who invited you:
	$105 (support staff)

Mail registration form and check to (note: change of registrar):

Michigan Dance Heritage
Joan Hellmann
208 Murray Avenue
Ann Arbor, MI 48103

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