Print this form and mail it along with your payment (check or money order payable to “DFO”) to: Adirondack Dance Weekend, 21 Lenox Ave. Albany, NY 12203-2005
Name(s) ___________________________________________________________________________
Address _________________________________________________________________________
________________________________________________________________________________
Phone (Day) ____________________ Phone (evening) _________________________
Email Address____________________________________________________________
Lodging: Indicate Choices (1 st, 2nd, 3rd) Room Rates shown are per adult, double- occupancy (*$10 discount for DFO members)
______ room with private bath: $305
______ unheated room with shared bath: $280
______ cabin with shared bath: $280
For those interested in triple or quadruple occupancy, there an additional discount. Contact us if interested. There is also a special children’s rate (ages 6 –17): $254 for heated, $224 for unheated. Children 5 and under are free.
Please send payment in full (our preference) or $150 deposit per person. Balance due Sept. 10.
Roommate (if none indicated, one will be assigned) ___________________________________
______ I am interested in a work scholarship (send deposit)
REGISTRATIONS are accepted on a first-come, first-served basis, and space is limited. Please register early to avoid disappointment, as we expect this event to fill up. Full-time participants only. Registration deadline is Sept 10.
PAYMENT We prefer payment in full for your first choice of housing. However, a deposit of $150 will hold your space. Any remaining balance is due before Sept. 10.
REFUNDS/CANCELLATION POLICY: No refunds after Sept. 15. Cancellation fee: $75 per person for cancellations from Sept 10 to Sept 15.
WORK SCHOLARSHIPS : A very limited number of partial work scholarships are available on a first-come, first-served basis. To receive information about work options and scholarship amounts, please indicate your interest on the registration form.
Adirondack Dance Weekend,
21 Lenox Ave, Albany, NY 12203-2005
518-489-9066 (before 10 pm EDT please)
dance@nycap.rr.com
ww.danceflurry.org/new/silverbay.html