send to: PO Box 1474, Shepherdstown, WV 25443
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Send one application per student please. Name______________________________________________________ Address:___________________________________________________ City:_________________________State:______Zipcode_____________ Phone: (home)_________________ (cell or work)___________________ Email:_____________________________________________________ I play (instrument/s)_________________________at ___________level. Scholarship request. Please submit before 9/15/08 for consideration. Contact office for information. ______I am interested in a housing scholarship in exchange for 2-3 hours of work over the weekend. ______I am interested in a tuition scholarship in exchange for a performance in a local school, hospital or nursing home. Class interest: Please list instrument or instructor Morning:_______________________________________________ Afternoon:______________________________________________ Tuition and Fees: ________ Full program $110 or $90 before 9/15/08 (Includes Concert, Ceili and both workshops) ________ Saturday Only $100 or $80 before 9/15/08 (Includes Ceili) ________ Single Workshop $40 (while space lasts) ________ Set Dancer's Special $40 (Includes afternoon set dance class and evening dance) ________ Concert only $15 adults, $12 seniors, $10 SMD members, $8 children/students ________ Dance Only $15 general public, $10 SMD members or attendee family members. ________ Grand Total Enclosed Cancellation Policy: If you must cancel, we can refund all tuition except the $30 deposit, provided you do it before September 1. Students canceling late due to extreme circumstances should send written documentation of their reason for canceling; these requests will be reviewed after the festival. |