Flamingo Fling 2018
Online Registration

Required fields are in BOLD

Contact Information

First Name:      Last Name:      Student
First Name Last Name Student
Do NOT share personal information
Phone 1:     (format: 123-456-7890)    Home   Cell   Work  
Phone 2:     (format: 123-456-7890)    Home   Cell   Work  
Street  
City  
State  
Zip  
Email  

Hospitality REQUEST

Hospitality Request: Number of People  
Hospitality Request: Number of Beds  
Hospitality Request: Smoker
Hospitality Request: Cats OK
Hospitality Request: Dogs OK
Hospitality Request: Notes (Allergies, etc.)  

Hospitality OFFER

Hospitality Offer: Number of People  
Hospitality Offer: Number of Beds  
Hospitality Offer: Smoker
Hospitality Offer: Have Cats
Hospitality Offer: Have Dogs

Caller Workshop Participation

I will participate in the caller workshop:  Yes   No  

Attendance and Merchandise

Option Price     Qty
Adult $95
Student $45
CDSS/STDS Member Discount $-5
Early Registration Discount (before 5/11/18) $-10
Saturday lunch at Oakdale $7
T-Shirt Women's Small $12
T-Shirt Women's Medium $12
T-Shirt Women's Large $12
T-Shirt Women's XL $12
T-Shirt Women's XXL $15
T-Shirt Men's Small $12
T-Shirt Men's Medium $12
T-Shirt Men's Large $12
T-Shirt Men's XL $12
T-Shirt Men's XXL $15
Donation (OPTIONAL, but appreciated) $
PayPal Fee (OPTIONAL, but appreciated) $0

Total $0  
Payment

Please fill in the form and click the Pay button.
You will be asked to confirm before transferring to PayPal, and you can complete or cancel the transaction in PayPal.
In PayPal you can pay via your PayPal account, or use a credit card.
No PayPal account is needed for credit card payments.
A confirmation email will be sent from both PayPal and from us when payment is completed (NO email if transaction is cancelled).

Please note that no refunds will be available and no hospitality requests can be accepted after June 1, 2018.

For online registration problems, please contact the webmaster: dance@scissortail.org

Created by GM Online Registration System, version 1.3.4