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****** Please note ******
If you wish to purchase tickets ONLY for the Deco Dance,
you don't have to fill out this Registration form.

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Personal information

Username:
Password:
Email:
First Name:
Last Name:
Address:
Suburb:
State:
Country:
Postcode:
Day Phone:
Night Phone:
Mobile Phone:

Registration Information

Dancer Type:
Package:
Payment Method:
Workshops I want to attend:

Saturday

Not Attending
Intermediate
Advanced

Sunday

Not Attending
Intermediate
Advanced

Monday

Not Attending
Aerials
Balboa

I can provide transport for guests:

Billeting Request

Billeting Request:
I am a Smoker:
I have Allergies:

Nights requesting Billeting:

Friday
Saturday
Sunday

Billeting Hosting

I can host a guest:
Smokers are fine:
I have pets:

Nights I can host Billeters:

Friday
Saturday
Sunday

Other

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