"All Things Swing 4th Saturdays" Registration Form:
 @ Dance North County, Encinitas,CA

IMPORTANT NOTICE: ALL Checks Payable to  "2toGroove"
(Please complete all information and sign below)


Name:    ________________________________________________       Phone: _______________________________(h)

Address: _______________________________________________                     _______________________________(w)

             _________________________________________________

E Mail:   ________________________________________________      Add me to GrooveNews Email List:___________
EVENT CHOICES- prices per person - 
Circle payment made                 
75min Hot Topic Workshop (7:15pm) + Dance 

$17  
Beginner Lesson (8:30pm) + Dance             $10
Workshop + Beg Lesson + Dance

$19
Dance Only:        $  8

Workshop Date  _____________________________________________                 Check   or    Cash (circle one)

Amount  Paid              _____________________________________________          Check Number: ___________________

Referred By _______________________________________________________________________________________
Liability Waiver:
  I acknowledge that Jim Cruzen and Margaret Adams have informed me that there can be risks of injury associated with all forms 
of dance.  I assume all such risks and agree that Jim Cruzen, Margaret Adams and the owner(s) of The Portuguese SES Building 
will not be responsible in any way for any injury I may suffer in or as a result of classes, practice, rehearsals, or performance work.

Signature:_________________________________________________                     Date: __________________________

Signature:_________________________________________________                     Date: __________________________

Print & Mail checks payable to: 
2toGroove
P.O. Box 3183, San Diego, CA 92163-1183

Questions?: Jim@2togroove.com or Margie@2togroove.com     (619) 291-3775