October 2, 3 & 4, 2009
Mesmera XV: Technique Buffet – All You Can
Dance!!
All Events at the
Broadway Recreation Center
300 Broadway St., Florence, Alabama 35630 (256) 760-6425
Registration Form
Saturday Workshop - pre-registered* - $80 (Includes lunch) At the door - $90 _________
Saturday Show - $10.00 ___________________________________________________
Sunday Workshop - pre-registered* - $65 At the door - $75 __________
Whole Weekend - pre-registered* - $130, At the door - $145 ______________________
Special Payment Option $110 whole weekend $35.00 due by July 15, 2009, $35.00
Due by
August 15, 2009, $40 due September 15, 2009_____________
Video $40.00 _____________________________
Name/Stage Name ___________________________________________________
Troupe ____________________________________________________________
Address ____________________________________________________________
City _____________________________ State_______ Zip___________________
Phone _____________________________ cell _____________________________
Email ______________________________________________________________
*Pre-registered postmarked September 15, 2008
I take responsibility for my Physical well being. I represent that I am Physically
and Mentally able to take these classes. I release Florence
Parks and Recreation
Department, City of Florence, Lauderdale County, Wiporwil, Noelle Smith, Mésmera,
and all sponsors, their representatives and successors from all claims or
liabilities arising out of my participation in this event.
Observers Fee Same
as Participant
Signed _______________________________________________________________
Dated _____________________________
Please make checks payable to
Noelle Smith,
370 Sycamore Drive, Muscle Shoals, AL 35661
Phone 256-760-6425, 256-383-1094
Sponsored By
The Florence Department of Parks and Recreation
Schedule of Events
Friday, October 2, 2009
7:00 Hafla – come ready to dance!!
Saturday, October 3, 2009
10:00am-12:00 Noon – Class with Mésmera:
Technique Buffet
All You Can Dance!
12:00-1:30 – Lunch
1:30-3:30pm – Class with Mésmera
7pm door opens for 7:30 Gala Show!!
Sunday, October 5, 2009
9:00-9:30 Registration and Shopping
9:30-12:30 Class with Mésmera –
Life of the Party!!
Vendors
Belilah’s Closet, Florence, Alabama
TBA