Burlington Jam Registration 2019
This event happens with a lot of love and support from everyone involved, including participants.  
Thank you all for making the Burlington Jam so special.

Abbi, Amanda, Michelle, Hazel, and More
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Today's Date *
First Name *
Last Name *
Email Address *
City *
State/Province *
By Registering for this Jam I agree to the following for myself and for any children under my guardianship under 18 years of age. *
Captionless Image
I am willing to be video taped and or to have my picture taken during the jam.  I understand that it might be shared with the larger dance community. *
Emergency Contact include a phone number, email and relationship. *
Attendance, When are you coming *
Payment - Registration is Complete after Payment is Received *
Go to PayPal and select 'Send Money to Friends and Family.' Then send the correct amount to this email: contactimprovVermont@gmail.com.  If you would like to send a check, make checks payable to: Burlington Contact Jam and then Send checks to: Michelle Lefkowitz, 71 Park Street, Burlington, VT 05401, USA
Where are you Staying? Can you offer housing? *
We look forward to co-creating embodied community with you!  
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