Print BIG BOOM Registration

REGISTRATION for "BIG BOOM" Saturday, April 23, 2005.

Drumming Workshop 2:00 to 5:00 pm. - Evening Drumcircle 7:00 to 9:00 pm.

Please check whether you are registering as a BBTD CIRCLE MEMBER ___ or as a NON-MEMBER ___

PLEASE PRINT CLEARLY IN THE SPACES PROVIDED

Name : _______________________________________________________________________________________________________________________________

Phone : ( ) __________ - _______________ e-mail : ____________________________________________________________________________

I have my own drum ____ I will need to borrow a drum at these events _____

THERE ARE FOUR POSSIBLE REGISTRATIONS TO CHOOSE FROM

PLEASE COMPLETE THE ONE MOST SUITABLE TO YOU

              1. ADVANCED REGISTRATION FOR BBTD Members (prior to March 20^th)
^{(A) Full Event : $ 40.00 ___     (B) Workshop Only : $ 30.00 ___     (C) Drumcircle
Only $ 15.00 ___

Signature ____________________________ enclosed payment of $ ____________

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              2. ADVANCED REGISTRATION FOR BBTD Members (after March 20th)

(A) Full Event : $ 40.00 ___     (B) Workshop Only : $
30.00 ___     (C) Drumcircle Only $ 15.00 ___

Signature ____________________________ enclosed payment of $ ____________

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              3. GENERAL ADMISSION (prior to April 1st )

(A) Full Event : $ 50.00 ___     (B) Workshop Only : $
40.00 ___     (C) Drumcircle Only $ 20.00 ___

Signature ____________________________ enclosed payment of $ ____________

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              4. GENERAL ADMISSION (after April 1st )

(A) Full Event : $ 60.00 ___     (B) Workshop Only : $
50.00 ___     (C) Drumcircle Only $ 25.00 ___

Signature ____________________________ enclosed payment of $ ____________

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ALL REGISTRATIONS MUST BE ACCOMPANIED WITH CASH or CHEQUE
PAYMENT in full.

Mail your registration form and cheque, made payable to :

Jack Barnes

65 GARDENWOOD DRIVE, LONDON, ONTARIO N6J 3M5 (519) 641-6566

or

Register in Person at the BBTD March Drumcircles}