Mésmera XIII Shine Like A Diamond Superstar
October 5, 6 & 7, 2007
Broadway Recreation Center
300 Broadway St., Florence, Alabama 35630
Registration Form
Friday Master Class - pre-registered $40, At the door $45 _________________________
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* - $120, At the door - $135, ______________________
video not included
Whole Weekend with Master Class - pre-registered $145, At the door $165 ____________
video not included
Video $40.00 _____________________________
Observers Fee Same as Participant
Name/Stage Name ___________________________________________________
Troupe ____________________________________________________________
Address ____________________________________________________________
City _____________________________ State_______ Zip___________________
Phone _____________________________ cell _____________________________
Email ______________________________________________________________
*Pre-registered postmarked September 15, 2007
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.
Signed _______________________________________________________________
Dated _____________________________
Please make checks payable to
The Florence Department of Parks and Recreation
420 N. Royal Avenue, Florence, AL 35630
Phone 256-760-6425
Sponsored By
The Florence Department of Parks and Recreation
Schedule of Events
All events at the
Broadway Recreation Center
300 Broadway St., Florence, Alabama 35630
Friday, October 5, 2007
2:00 pm- 4:00 pm - Master Class with Mésmera
7:00 Doors open for 7:30 Show!!
Saturday, October 7, 2006
9am-10am – Registration and shopping
10am-12:00 noon – Class with Mésmera – Inspiring Amethyst
Artistry
12:00-1:30 – Lunch
1:30-3:30pm – Class with Mésmera
7pm doors open for 7:30 Gala Show!!
Sunday, October 8, 2006
9:00-9:30 Registration and Shopping
9:30-12:30 Class with Mésmera