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Camp Hollywood Registration  
- Camp Hollywood 1999 - October 15th - 17th! -

Register now for Camp Hollywood '99 before it's too late.
Don't miss your chance to be a part of the event of the year!


FILL OUT & PRINT THIS FORM


CAMP HOLLYWOOD PACKAGES

$175 per person, - FULL CAMP PACKAGE
(includes all classes and evening events)
MUST BE 18 AND OLDER  (due to Palladium regulations)
$125 per person - DAY PACKAGE (classes only, no evening events)
ALL AGES

EVENING DANCE TICKETS
(may also be purchased through Ticketmaster)

$20 per person - Friday, Oct. 15th (7:30 PM) Film clips and discussion panel, followed by the EDDIE REED SWING BAND & contest preliminaries.
$20 per person - Saturday, Oct. 16th (8:00 PM) THE BILL ELLIOTT SWING ORCHESTRA & contest finals.
$15 per person - Sunday, Oct. 17th (8:00 PM) DEAN MORA'S MODERN RHYTHMISTS & Shag Jam '99.
$50 per person - Complete dance only packages / all three nights. (save $5)

TOTAL



VISA MasterCard CHECK/MONEY ORDER (payable to Camp Hollywood)

Card Number

Exp. Date
Signature!
Please print this form and sign here!

Name of person #1

Lead Follow
Street address
Address (cont.)
City
State/Province
Zip Code
Country
Daytime Phone
Evening Phone
E-mail

 

Name of person #2 Lead Follow
Street address
Address (cont.)
City
State/Province
Zip Code
Country
Daytime Phone
Evening Phone
E-mail

.
Mail To:
Camp Hollywood
PMB #130 Reference: TLHHP
137 North Larchmont Avenue
Los Angeles, California 90004

For questions regarding your order call: 323/874-9649

ACKNOWLEDGEMENT WAIVER
(Print this form and sign)

By signing this waiver, I acknowledge that I am required to bring a valid driver's license or state ID in order to gain entrance to the Palladium for the evening dances.  I understand that I will not be granted a refund if I fail to bring the aforementioned ID to Camp Hollywood.

My entrance to the classes or evening dances implies that I consent the use of my voice and/or image to be reproduced in the Camp Hollywood video or any promotional material.

I understand that there are risks of injury associated with all forms of swing dancing and that I assume such risks and agree that Camp Hollywood will not be responsible in any way for any injury I may suffer in or as a result of the classes and/or dances at Camp Hollywood.

I understand that no refunds will be given after October 1, 1999.

I understand that no videotaping will be allowed during the classes or dances.

Dancer #1
Print NameSign & Date

Dancer #2
Print NameSign & Date

This waiver must accompany the mail in registration form!

Please Visit The Camp Hollywood Website for Complete Information.