You may print this form, fill it out and mail a copy to the address below, or copy and paste along with your answers in an email to kaycrone@yahoo.com.

Submit your application to:

Kay Rasch

378 Winkler Lane

Hamilton, MT 59840

406.363.3405

Oneness Project
Dance Library Application Form

Date submitted:

Name:
Address
City
State
Zip
Home phone:
Work Phone
Your email address:
Your mentor or supervisor in the Dances:
My membership in PeaceWorks expires on __________.

What is the name/location of your dance circle?

Who will be the one to physically hold the library?

Approximately how many people will be using the library?

Approximately how many people are in your dance circle and how often do you meet?

General Information After receiving your application and its approval, I will order the materials from PeaceWorks Publications. It may take several weeks to receive your library. Also, please note that at this time several books and CDs are not available from PeaceWorks Publications.

We ask that if your circle no longer finds this library of use, you will return it so that it may be passed on to another circle.