Registration Price: $60.00 if ordered After Sep 1, 2009 or at the door How many Dancers:
Dancer(s) Names:
Add my Widow Partner or Friends (Non dancer $15.00 Each):
Check the box to add and then state the number of Non dancers $15.00 for each non dancers attenddees - How many non dancers:
Please include non dancers name(s)(widow), please separate names with comas (If applicable):

Are you a Caller: I am not a caller I am a GCA Caller and interested in calling at the Fly-In Levels: MS and Plus I am a GCA Caller and interested in calling at the Fly-In Levels: A or C I am a caller but not interested in calling at the Fly-In

I/ We request housing with a CCCD member: (If possible, Request must be made by August 1, 2009 No request for housing Yes if possible No
If Yes:
For Pets: No request for housing Yes for Pets No Pets Either for pets
For Smokers: No request for housing Yes for Smokers No Smokers Either for Smokers
For genders: No request for housing Male Female Either for Gender

Nights you will need housing: No request for housing Thursday Friday Saturday Turs and Friday Turs, Fri and Sat Fri, Sat and Sun Fri and Sat Sat and Sun All 4 nights, Friday to Sunday

Club Affiliation:
Dance Level:

Special Instruction: (Also if you are local dancer and willing to host out of town dancers please state so here)

Would you like to order Load the Boat T-Shirts:
T-Shirts (S, M, L or XL are $10.00 Each and 2 XL or 3 XL are $12.00 Each:
Click to Enlarge T-Shirt
Check the box to add $10.00 Small T-Shirts Qty of Small T-Shirts:
Check the box to add $10.00 Medium T-Shirts Qty of Medium T-Shirts:
Check the box to add $10.00 large T-Shirts Qty of Large T-Shirts:
Check the box to add $10.00 Extra Large T-Shirts Qty of X-Large T-Shirts:
Check the box to add $12.00 2 Extra Large T-Shirts Qty of XX-Large T-Shirts:
Check the box to add $12.00 3 Extra Large T-Shirts Qty of XXX Large T-Shirts: