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Celtic Fiddle & Feet Application. Send one form per person.
Name:____________________________________________________
Address:__________________________________________________
City:____________________________ State:______ Zip__________
Phone: (home) __________________(cell)_____________________
Email address:____________________________________________
Class Choices:
I play (main instrument):_______________________ Playing Level:___________
Other Instrument(s)___________________________ Playing Level:___________
List first choice class below, if full, list a possible second choice
____________________________Session 1 _____________________
____________________________Session 2 _____________________
____________________________Session 3 _____________________
Classes will be filled on a first-come, first-served basis. Many classes have a size limit of 15 students.
Tuition and Fees
______ 3 Day Workshop Session ($175)
(tuition deposit $50, full payment due for registration after Oct 20)
(includes concert and all evening events)
______ Evenings Only Pass (ceili, concerts, sessions $30)
______ Extra Saturday Concert Tickets
(tickets are $15 adult, $12 senior, $6 children)
______ Reserved Lodging at Hilltop House (Y or N)
______ Optional Donation to the Scholarship Fund
Upper Potomac is a tax-exempt charitable organization.
Please help us continue our scholarship program!
______ Grand Total Enclosed
Note:
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