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Application To Upper Potomac Fiddle Retreat
Name:__________________________________________
Address:________________________________________
City:___________________ State:_____ Zip __________
Phone: (home)________________(work/cell) ____________
Email address:___________________________________
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I play (Instrument):_____________________ Playing Level:___________
Other Instrument(s)_____________________ Playing Level:___________
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Class Choices:
____ Folk Fiddle For Seasoned Beginners
A la Carte Classes List teacher preference for each time slot:
Class 1____________________ Class 2______________________
Class 3____________________ Class 4______________________
*Classes will be filled on a first-come, first-served basis.
Tuition and Fees
_______ Full 2 Day Workshop Session ($140)
($125 if paid in FULL by Jan. 1) or
Non-refundable Deposit $25 (holds your space)
_______ Tuition for Saturday only ($90)
($80 if paid in FULL by Jan. 1)
_______ Tuition for Sunday only ($75)
($65 if paid in FULL by Jan. 1)
_______ Single fiddle class ($40)
_______ P. V. Scottish Fiddle Club ($10 for nonmembers)
_______ 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
Notes:
Make checks payable to Upper Potomac Fiddle Retreat or UPDF.
Mail to:
Upper Potomac Fiddle Retreat
PO Box 1474
Shepherdstown, WV 25443
Registration is not closed until the weekend starts, but individual classes may fill early.
This is our most popular weekend, if you are applying late, you may wish to check on class availability.
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