Cumberland Dance Week Registration
Cumberland Dance Week 2010 Online Registration
This will allow you to enter your registration information, see the expected costs, and eventually submit your registration. First we need you to enter your information.
ADULTS
Name
(as it will appear on Name Tag)
Sex
(m/f)
LSF
Member?
(y/n)
1:
Female
Male
Yes
No
2:
Female
Male
Yes
No
3:
Female
Male
Yes
No
4:
Female
Male
Yes
No
Youth
Name
(as it will appear on Name Tag)
Sex
(m/f)
Age
1:
Female
Male
2:
Female
Male
3:
Female
Male
4:
Female
Male
Address:
City:
State:
Zip:
Phone:
E-mail:
Payment by:
Will Mail Check
Send Invoice to Paypal
Reserve vegetarian meals for
Adults and
Youth.
Special Requests:
Would you like to Join the Lloyd Shaw Foundation?
Not at this time
Individual membership ($ 25) provides '$25' discount for an adult to CDW
Couple/family membership ($ 40) provides '$25' discount for up to two adults to CDW
We are already a member
If this is your first time registering for CDW, please tell us how you heard about the event.