24th Indiana
Reg No.________
SQUARE and ROUND DANCE CONVENTION
Indianapolis Marriott East
7202 E. 21st Street, Indianapolis, Indiana 46219
“Circle Up 8 in the Hoosier State"
Friday, Saturday, Sunday, October 18, 19, 20, 2013
ONE LAST NAME ONLY
Attend President’s Ball as
my Club’s President
LLAST NAME
ADDRESS
Volunteer One Hour of
Time at Convention
CITY
STATE
ZIP
TEL.
-
EMAIL
-
FIRST NAME
AGE
ADULT
x
FEE
OFFERING FOR YOUR PLEASURE
x
SQUARE DANCING
ADULT
x
x
MAINSTREAM
PLUS
DBD
YOUTH
ROUND DANCING
YOUTH
COUNTRY WESTERN & LINE DANCING
ROUND DANCE SYLLABUS ($1.00 EACH)
YES
Cash $________
CONTRA
EDUCATION
SATURDAY
LEADERS
9:00 AM
SEW CREATIVE
10:00 AM
DANCERS
2:00 PM
Time subject to change; Consult Program
SQUARE DANCE BOOSTER WITH NAME IN PROGRAM BOOK ($1 per person)
Check #________ Date _______
PHASE II - V
ADVANCE
TOTAL FEE
PROPER SQUARE DANCE ATTIRE REQUIRED FRIDAY, SATURDAY EVENINGS
OPTIONAL SATURDAY DAY and SUNDAY (NO SHORTS)
REGISTRATION FEE
HOUSING
THRU AUG. 31, 2013 ……………………………………………………. $25.00
AFTER AUG 31, 2013 POSTMARK……………………………………... $30.00
MAKE YOUR OWN RESERVATIONS AT ONE OF
THE MARRIOTT HOTELS BY CALLING
SINGLE SESSIONS AT THE DOOR ONLY
FRIDAY
SATURDAY
SATURDAY
SATURDAY
SUNDAY
6:00 PM – 11:00 PM ….………………………………….
11:00 AM – 5:00 PM ….………………………………….
7:00 PM – 11:00 PM ….………………………………….
BOTH SESSIONS ……………………………………….
10:00 AM – 12:30 PM ……………………………………
$11.00
$11.00
$11.00
$17.00
$ 7.00

FAIRFIELD INN AND SUITES 317-322-3716
$84.00

INDIANAPOLIS MARRIOTT
317-352-1231
$99.00

LaQUINTA
317-359-1021
$69.00

FOR CONVENTION RATES, TELL THEM YOU ARE WITH THE
2013 INDIANA SQUARE & ROUND DANCE CONVENTION
ALL PRICES ARE PER PERSON
REGISTERED DANCERS UNDER 16 YRS.
ACCOMPANIED BY A REGISTERED DANCER ARE FREE
REGISTRATION FEE INCLUDES: One program book,
One convention ribbon and all scheduled dancing.
NO REFUNDS AFTER SEPTEMBER 1, 2013
$2.50 PER PERSON PROCESSING FEE FOR CANCELLATIONS
NOT TO EXCEED $5.00 PER REGISTRATION
MAKE CHECK OR MONEY ORDER PAYABLE TO:
Indiana Square Dance Convention
CAMPING INFORMATION REQUESTED
Indy KOA, located 8 miles from Marriott on I-70 E
25% discount for Square Dancers (this weekend only)
Back-in & Pull-thru sites available
Send Registration Form to:
Registration Chairman
Dennis & Rebecca Clark
2549 Galaxy Lane
Indianapolis, IN 46229
dennisclark@indysquaredance.com
See Website for additional information and forms
www.insquaredanceconvention.com