Participant Name:
Address:
City, State, Zip:
Email:
Telephone #:
Group Name:
Instructor's or Director's Name:
Dance Level:
T-shirt size *included, WORKSHOP only:
NOTE* T-shirts are for Advanced Level Workshop only! Not for Children's Session
Additional T-shirts $15.00 each
T-shirts purchased on site for $18.00.
Video permit ($15.00) may be purchased on site.
Workshop Fees
Total, Registration Fees:
Total, Video Permits:
Total, T-shirts:
*Total Amount:* add $5.00 SF
*Name on Credit Card:
*Credit Card Number:
*Expiration Date, Mo./Year:
*Credit Card Type:
*Address:
*Email Address:
* Indicates required field.
You will receive an email notification once you submit your registration form and payment.
If you have any questions, please email or call us.
email:  mixtecobf@yahoo.com
Tel. #:  281-772-1373
Thank you very much!
Age:
Summer Camp Dates, Sessions 1, July 10-13, 2018.  $65.00 & $20.00
Mixteco Ballet Folklorico
School of Dance
Summer Camp/Advanced Workshop 2018
Advanced Workshop Dates, Jul 25th to 28th, 2018. $130.00
Summer Camp Sess. 1 or Workshop?:
Additional T-shirt sizes