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39th Nebraska State
Square & Round Dance Convention
September 18 & 19, 2009
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CALLER / CUER CONVENTION REGISTRATION
(PRINT CLEARLY)
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Your First Name _______________________
Your Last Name _______________________
Partner's First Name _______________________
Partner's Last Name _______________________
Address __________________________
City _____________________________
State ___________ ZIP ____________
Home Phone _______________
Cell ________________
E-Mail Address _____________________
I can call or cue during the following times;
(Please circle all that apply) |
I'm available; |
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I can call; |
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I can cue; |
Friday Night |
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Mainstream |
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Phase II |
Saturday Morning |
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Plus |
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Phase III |
Saturday Afternoon |
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Advanced |
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Phase IV |
Saturday Night |
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Contra |
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Phase V |
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Member of the Nebraska Square Dance Callers Association? Yes___ No___
Please check your Nebraska Federation or other State:
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Northeast _____
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Eastern _____
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Central _____
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Southeast _____
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Panhandle _____
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Western _____
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State: ____________________________
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| Round Dance Cuers: |
You will have to submit a list of rounds that you
wish to be programmed for no later than July 1,
2009. Failure to submit your list of rounds may result
in you not being programmed.
Callers, Cuers:
Please send the above information to
Darwin Barker
7667 S 161 St.
Omaha, NE 69136
(402) 334-9525
Note: The registration deadline is July 1, 2009.
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