Machol Mile Chai with Marcelo Marianoff      August 14 and 15, 2021  in  Denver, Colorado                                               In Person  
Vaccination protocol at the end of this form.  Please read carefully.  
One form per participant.  
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First Name *
Last Name *
Street Address *
City *
State/Province   *
Zip/Postal code *
Country *
Phone number *
Cost - select full weekend or sessions you will attend
Total amount due   *
Daytime session - Daytime session including teaching, dancing and review will be held from 10:30 a to 4 pm with a 90 minutes lunch break.   No meals are included; however, there will be some healthy snacks provided.
Payment method
For completion of application:    In order to process your registration, we MUST receive proof that you are fully vaccinated and will be at least two weeks past your second shot prior to August 14, 2021.  Please send a photo of your completed vaccination form to:  laurmorris@comcast.net   (that information will be kept confidential by the health care professional who is collecting the forms.)   We will confirm your registration upon receipt of payment and vaccination form.                                                                                                                      If you need further information, please reach out to Laurie at the above email address.                                                                                                                        There is always a chance that we may have to cancel for unforeseen circumstances.   Please book flights on airlines with flexible change/refund policies.                                                                                                                                 If you cancel after July 31, you will incur a 25% processing fee.                                                                                                                    We look forward to seeing you in Denver!  
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