4th Annual Roanoke Railroader Contra Dance Weekend 2018
Registration Form
Name *
Your answer
Name or nickname you want on tag/button *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Email Address *
Your answer
Do you want your name posted on Facebook as attending? *
What accommodations will you be using?
Are you interested in a scholarship?
Will you be coming to the Thursday night dance? (included free w/ full registration )
Do you have any special needs or concerns?
Your answer
Can you bring a dish for the potluck/cookout?
Your answer
Will you want a vegetarian burger ? ( cooked on a separate grill )
Do you want to bring fireworks to shoot off?
Do you like to roller skate ?
Do you like to hike?
Do you like to bike?
Is there a special location you want to know about in the Roanoke area?
Your answer
Do you want to contra dance on roller skates?
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