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21ST ANNUAL POSSUM TROT WORKSHOP
From Kentucky
Charlie Burns		 From West Virginia
Jeff Driggs		 From Missouri
Missy Shinoski		 From No. Carolina
Chip Summey
Friday & Saturday
March 19 & 20, 2004
San Bernardino County Fairgrounds
14800 Seventh St., Victorville, California
Take Interstate 15 to Roy Rogers Exit and Follow Signs to Fairgrounds
Sponsored by Apple Creek Cloggers		 TWO LARGE HALLS!

FUN! FUN! FUN!

All Levels - Something for Everyone!
Schedule of Events
Friday Night, March 19
7:30 pm.. . . . . . . .Workshops		 Saturday, March 20
9:00 a.m. - 4:30 pm.. . . . . . . .Workshops
6:30 pm - 10:30 pm . . . . . . . .Dance
Host Hotel:      Ramada Inn, 15494 Palmdale Rd. (760) 245-6565
Other Hotels:  Red Roof Inn, 13409 Mariposa Rd. (760) 241-1577
                         Green Tree Inn, I-15 & Palmdale Rd. (760) 245-3461

Info Call: Pam (714) 821-5007  Joan (714) 828-3896  Nora (562) 921-6292

**Free Syllabus and Early Bird Discount for Registration Before January 1, 2004
Early Bird Registration
Weekend Pass with syllabus (postmarked before 1/1/04)
#_____ @ $25.00
Pre RegistrationAt Door
Weekend Pass (postmarked between 1/1/04 and 2/15/04)
$30.00
$35.00
Children under 12 with Adult
$20.00
$25.00
Saturday only
N/A
$25.00
Friday nite only
N/A
$10.00
Sylllabus
$5.00
N/A
Video Taping Fee
$5.00
$5.00
Spectators Welcome $2.00 per day at Door.
R.V. PARKING AVAILABLE AT $15 PER NIGHT
A Few Hookups available on a First Come, First Serves Basis
#_______Workshop ticketsTotal Fees$________
#_______SyllabusTotal Fees$________
#_______Video TapingTotal Fees$________
#_______Nights for R.V.Total Fees$________
#_______T-ShirtsTotal Fees$________
#_______SweatshirtsTotal Fees$________
Grand Total
 $________
 T-Shirts must be pre-ordered by Feb. 15, 2004
T-SHIRT COLOR: TBD
Mark number needed of each size:
Polo ShirtsS____ M____
L____ XL____
$20.00
T-ShirtsS____ M____
L____ XL____ XXL____
$15.00
SweatshirtsS____ M____
L____ XL____
$20.00

NAMES________________________________

______________________________________

ADDRESS______________________________

CITY___________ STATE______ZIP_______

PHONE____________________________

E-mail ___________________________

Make Checks Payable to: POSSUM TROT 2004
mail to: Pam Smiley
5522 Lime Ave.
Cypress, CA 90630
714-821-5007
Send Email to Pam

Send Legal Size SASE for Ribbon
or pick up at door.

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