Peoria Area Lindy & Swing

Peoria Area Lindy & Swing

Registration is now closed

Schedule

Directions
Your Name:
Gender:Male Female
Phone number:
Your e-mail address:
Your address:

Special Considerations:
Do you need housing?
(Housing is limited and on a first come basis)		Yes No
Are you travelling with people you
would like to housed with (and who)?
Do you have any special requests No smoking
No pets
Other requests
Can you provide housing?Yes No
How many can you house?
Can you volunteer for anything?
(clean-up, tear down, etc.)
By clicking Submit, you agree that dancing can be a strenuous activity and will not hold PAL Swing, its officers, etc. responsible in the event of any injury.
Also, you agree to allow PAL Swing to use any pictures/likenesses taken during the exchange for promoting this or future events.

Note:

Some errors have been reported with the registration request.

After hitting Submit you should see an immediate notification that says the following:

Thank you for registering!
Below is what you submitted to exchange@palswing.org on Tuesday, November 10, 2009 at 22:17:14 If you did not, please send this information to exchange@palswing.org

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Name: Your name

gender: Your gender

phone number: your phone number

address: Where you're coming from

housing: Do you need it or can you provide it?

wants to be housed with: Who do you want to be housed with (are you travelling with anyone? that you'd like to be housed with)

What you might want to volunteer for: (not required)

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