Southern Fling registration form

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Youth Scottish Country Dance weekend, Fri 31 Jan to Sun 2 Feb 2020

Registrar: Kira Dowling kira.rscdscbr@iinet.net.au

Your name *

Your Email Address *

Your age *

Your phone number *

Your Branch and/or Scottish Country Dancing Club

Town or city where you live *

Your current level of Scottish Country Dancing *

Beginner

Intermediate

Advanced

Your dietary requirements *

None

Vegetarian

Gluten-free

Other:

Name of other/s you would like to share a room with

Any other conditions the organisers need to be aware of

I am registering as a COMMUTER or a RESIDENT (weekend runs from Friday afternoon to Sunday afternoon for both commuters and residents) *

COMMUTER 2 dance classes, 2 evening socials, all lunches, morning/afternoon teas and suppers and dance devising activity

RESIDENT 2 nights shared accommodation, 2 dance classes, 2 evening socials, all meals, morning/afternoon teas and suppers, dance devising activity, plus optional social activities

Do you require transport from Canberra airport to YHA

Available to residents only, a small fee may apply

Yes

Maybe

Clear selection

I will EFT the following sum: (full payment by EFT on the day you submit the form would be appreciated, however, if needed you may contact the registrar to ask about paying in instalments) *

Account name: RSCDS Canberra and District Branch BSB: 062901 Account: 00905121 Use SF 'your surname' as the description for your EFT.

$100 commuter

$250 resident

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