Print off this booking form and send with payment to: Karen Michaelsen, 46 Hob Moor Drive, York Y024 4JT  It is advisable to confirm availability prior to sending your deposits.  Please make cheques payable to: K. Michaelsen.  Please request a separate booking form for the 2012 weekends.

Name________________________________________________________________

Address______________________________________________________________

_____________________________________________________________________

Town/City_____________________________________Postcode_______________

Telephone No:_________________________________________________________

Email________________________________________________________________

Deposit(s) enclosed for:  (£10 deposit for courses.  £5 for afternoon workshops.  £10 for day workshops. Events as costed. Weekends £25 or £30 - please refer to each one.)  Please note that deposits are non-refundable. You will receive a confirmation of your booking by return of post or by email. 

Class_________________________________Dates_______________

Workshop_____________________________Date_______________

Workshop_____________________________Date_____________

Workshop______________________________Date______________

Weekend______________________________Date______________

Weekend_____________________________Date_______________

Total enclosed:_________________________

Directions to venue required______(please tick if needed)

Request for accommodation with local dancer ______(please tick if needed)