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Booster Dance Form
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ukborn77@msn.com
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Please print a copy, fill in the information and mail to
Booster Dance Coordinator:
Gillian &Dale Chase
13302 Kelsey Court
Woodbridge, VA. 22193
(703)590-3468 h
(703)706-4506
ukborn77@msn.com
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Club Name:______________________________________
Booster Dance Date and Time:_____________________
Caller/Cure/Prompter name(s) for this dance:__________________________________
Dance Location:_______________________________________________________________
Directions to booster dance:____________________________________________________
____________________________________________________
____________________________________________________
Name of Club's contact person for this dance:___________________________________
Telephone and e-mail address:_________________________________________________
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