Pre-registration form :
Atef Farag workshop and/or Sat evening show

Numbers are limited, so reserve your place now. Pre-registration is easy :

If you would prefer, you may print this form (or the workshop flyer or the show flyer), complete it, and mail it to Hala Dance with your check


Pre-registration form :
Atef Farag workshop and/or Sat evening show

**Name :
Dance Name (if different) :
 
**Address :
**Telephone :
**Email :
 
Number of people Amount
Saturday Workshop :
$ ($50 per person)
Saturday Evening Show :
$ ($15 per person)
Sunday Workshop :
$ ($50 per person)
Two days Workshop (Sat & Sun):
$ ($90 per person)
**Total amount :
$
 
How did you hear about this event (check all that apply) :
Friend || Internet || Flyer or Printed Material || Other (please specify in comments below)
 
Special requirements or comments :
 
Please check you have filled in all the required fields (marked **) before clicking on the submit form button.