Registration for C2D EVENTS

Personal Information
Name:	_________________________________________
Address:	_________________________________________ _________________________________________ _________________________________________
Work Phone:	_________________________________________
Home Phone:	_________________________________________
Cell Phone:	_________________________________________
Email:	_________________________________________
Website:	_________________________________________
Company or Dance Ministry
Company Name:	_________________________________________
Company Address:	_________________________________________ _________________________________________ _________________________________________
Company Phone:	_________________________________________
Company Email:	_________________________________________
Company Website:	_________________________________________
Event for which You Are Registering
Dance Classes Conference Workshop
Your Group
How many people will attend:	_________________________________________
What Are the Ages?
Children (ages 6-12)   Teenagers (ages 13-19)  Young Adults (ages 20-35)       Adults (ages 36-59)       Seniors (ages 60-80)
Any Previous Experience?
No experience at all    Beginners  Intermediate       Advanced      Experienced in other type of dance
Payment
The annual membership fee for The Called 2 Dance National Liturgical Conference™ is US$35.00   Please send your check or money order to:     Called 2 Dance     P.O. Box 382070     Miami, FL 33238