Open Dance Listing Form

Must be received by the 20th of the month. Two months before the event (I.E. March 20th for the May issue)


ROUNDUP issue: Club Name: Region:

Check the appropriate items below:

Day of the week Monday
 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday
 Sunday
Week(s) of the Month 1
 2
 3
 4
 5
 Every
Dance Level ND
 MS
 PLUS
 A1
 A2
 C1
 C2
 RD
 CW
 Folk
 Clogging

 

First Week Date: Dance Level:
Facility:
City/State:
Address:
Directions:
RD Cuer: Time:
SD Caller: Time:
Workshop: Time:
Theme-food:
Contact Information:

 

Second Week Date: Dance Level:
Facility:
City/State:
Address:
Directions:
RD Cuer: Time:
SD Caller: Time:
Workshop: Time:
Theme-food:
Contact Information:

 

Third Week Date: Dance Level:
Facility:
City/State:
Address:
Directions:
RD Cuer: Time:
SD Caller: Time:
Workshop: Time:
Theme-food:
Contact Information:

 

Fourth Week Date: Dance Level:
Facility:
City/State:
Address:
Directions:
RD Cuer: Time:
SD Caller: Time:
Workshop: Time:
Theme-food:
Contact Information:

 

Fifth Week Date: Dance Level:
Facility:
City/State:
Address:
Directions:
RD Cuer: Time:
SD Caller: Time:
Workshop: Time:
Theme-food:
Contact Information:

Submitted By:

Name:
Address:
City / State / Zip Code:
Phone Number (with area code):
Email Address: