Phoenix Lindy Hop Workshop
Catrine Ljunggren and Peter BetBasoo

Registration Form

Thank you for registering for the Phoenix Lindy Hop workshop.

Your registration information is:

Registration ID:
Password:
Price: $

Please click on the Pay Now button to make your payment.

Please send a check or money order payable to Peter BetBasoo for the above amount to:

Peter BetBasoo
20003 N. 23rd Ave. #102
Phoenix, AZ 85027

Please write your user ID on the check or money order.

	* required field
Days Attending	Saturday and Sunday ($80) Saturday only ($50) Sunday only ($50) None
Master Class	Yes ($20) No (partner required, no rotation, open to all levels)
Your Dancing Level	Beginner Intermediate Advanced
First Name*
Last Name*
Gender*	Male Female I don't know I'm not sure Piss off! Gender is a social construct
Address*
Address 2
City*
Zip Code*
Country*
State*
Phone*	(xxx-xxx-xxxx)
E-Mail*
Payment Method*	PayPal Check/Money Order Capitalist pig! This is covered by ObamaCare!

Phoenix Lindy Hop WorkshopCatrine Ljunggren and Peter BetBasoo