NORTHWEST FIDDLE FEST 2002 REGISTRATION FORM

Name: ____________________________ Address: _____________________________________________
City: _______________Province: ____ Code: ___________ Phone: ____________E-mail: ________________

REGISTRANT'S NAME
AGE
INSTRUMENT (circle)
LEVEL (circle)
FULL or PART DAY
   
fiddle guitar piano djembe*
beginner intermediate advanced
full
part
   
fiddle guitar piano djembe*
beginner intermediate advanced
full
part
   
fiddle guitar piano djembe*
beginner intermediate advanced
full
part
   
fiddle guitar piano djembe*
beginner intermediate advanced
full
part
*Djembe classes will be for advanced drummers only

Daycare will be needed for ____ children. Ages: ____ ____ ____ ____ Full time or 1/2 day? ________
TUITION
Full tuition _____x $200 = ___________      
Part day tuition _____x $ 60 = ___________ Total tuition (A) $________  
*Early-bird discount 12.5% x A      
**Family discount 12.5% x A      
      Total discount (B) $________  
      TOTAL A-B   $________

MEALS and ACCOMMODATION
Billets and breakfast Sat night - Thurs AM ______x $25 $_________  
Lunch and snack option Sun - Wed ______ x $40 $_________  
Lunch, snack and dinner Sat dinner - Wed dinner ______ x $75 $_________  
      TOTAL $_________

SATURDAY CONCERT TICKETS
Adult tickets _________ x $15 $__________  
Student tickets under 16 _________ x $10 $__________  
    TOTAL $__________

TOTAL: $________

*Early-bird discount applies to registrations postmarked before Jan. 31, 2001
**Family discount applies to the entire family registration when three or more immediate family members from one address register

Please return completed form with your cheque or money order payable to:

Northwest Fiddle Fest ~ c/o Wendy Stone, BOX 453, TELKWA, B.C., V0J 2X0
 
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