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39th Nebraska State
Square & Round Dance Convention



September 18 & 19, 2009

Suggested
DONATION
ADVANCED DOOR
All Events $28.00 $30.00
Friday Evening $15.00 $15.00
All Saturday $15.00 $15.00
Youth(16 & Under) 1/2 Price 1/2 Price


Square Dance Attire is appropriate for
all dance activities


Spectators Welcome
Send Registration(s) to
Registration Directors:

NEBRASKA SQ & RD DANCE CONVENTION
C/O  Roy Marilyn Willis
1235 N 146 Plz
Omaha, NE  68154

Deadline for Advanced Registration and Refund June 30, 2009

Enclose Self-Addressed Stamped Envelope
Make Checks Payable to:

2009 NEBRASKA SQ & RD DANCE CONVENTION

CONVENTION REGISTRATION
(PRINT CLEARLY)

All Events_____ Fri. Evening_____ All Sat. _____ 
Last Name ______________________ His 1st Name ___________
Address ________________________ Her 1st Name ___________
City ____________________________ Youth Dancer ___________
State ___________ ZIP ____________ Youth Dancer ___________

Please check your Nebraska Federation or other State:  

Northeast _____

Eastern _____

Central _____

Southeast _____

Panhandle _____

Western _____

State: ____________________________

Total Donation Enclosed: $______________


CAMPING REGISTRATION
(ADAMS COUNTY FAIRGROUNDS)

Name _____________________________
Address____________________________
City ___________ State ____ ZIP ______

Full Hookup at $23.00 per night ---
up to 20 units available
Fri. _____ Sat. _____
Power & Water at $19.00 per night ---
80 or more units available
Fri. _____ Sat. _____
Power Only at $13.00 per night ---
40 or more units available
Fri. _____ Sat. _____
Site Only (No Hookups) at $5.00 per night Fri. _____ Sat. _____

Total Camping Fees Enclosed: $__________


Campers: The above camping form must be used for reserving spots at the
Fairgrounds on Friday or Saturday nights.

Callers, Cuers:  If you want to participate in the program,
please register by completing The Caller/Cuer form or
by contacting Darwin Barker, 7667 S 161 St.,  Omaha, NE 69136  (402) 334-9525
Note: The registration deadline is July 1, 2009.


Convention Lodging Registration Map