Please type all your information in this form. After submitting the form, mail your cash or check payment to:

Funkanometry SF
99 Colton Street
San Francisco, CA 94103

Your spot will not be reserved until your check is received. We will email you to confirm receipt of your check. Please include your email address in the envelope somewhere. All dancers must also sign a waiver form the first day of class in order to participate in the workshop.

Any questions? Email info@funkanometrysf.com.

Basic Information:

Your Name 

Email: 

Address: 

City, State, Zip: 

Birthday: 

Age: 

Phone #: 

Workshop Location:
City Dance
10 Colton Street (Enter on Brady)
San Francisco, CA 94103

Workshop Details:
- Rehearsals held every Monday from 7-10pm
- Instructors: Emerson Aquino & Gloryzen Mendoza (Funks SF)
- Start Date: June 21st, 2010
- Performance: August 22nd, 2010 @ Brava Theater, SF
- Total cost for workshop: $250

1) Please read the PW8 FAQ Sheet before completing registration.

2) Please list any previous dance training/experience that you have had.

3) Payment included with registration:
 $100 nonrefundable deposit
 $250 nonrefundable total payment for workshop

**You MUST include either $100 deposit OR total payment to complete registration.

>>NOTES:
- Please make checks payable to ‘Funkanometry SF’.

Mail forms to:
Funkanometry SF
99 Colton Street
San Francisco, CA 94103

- Questions? Did you read the FAQ Sheet? Still need more info? Email info@funkanometrysf.com.