Send one form per person please!
Mail to: UPDF, PO Box 1474, Shepherdstown, WV 25443
Name: __________________________________________________________________________
Address: ________________________________________________________________________
City: _______________________________________ State: ______________ Zip: _____________
Phone (home): _____________________________ (cell): ________________________________
E-mail: __________________________________________________________________________
I play these instruments: ____________________________________________________________
Playing Level: _____________________________________________________________________
Friday __________________________________ Weekend _________________________________
(Classes may be dropped if there is not sufficient interest by March 1, 2012)
| _________ | 3 Day Workshop Session ($175)(includes concert and all evening events) ($50 deposit holds your spot until March 1) |
| Friday Only ($60)(includes Friday evening concert) | |
| Saturday-Sunday Only ($130)(includes concert) | |
| _________ | Saturday Catered Lunch ($15) |
| _________ | Extra Saturday Concert Tickets(tickets are $15 adult, $12 senior, $8 children) |
| Rental Instrument for 3 days ( ___$30 for 12/11, ____$40 for a larger chromatic instrument) |
|
| _________ | Amount Due March 1 |
| _________ | Optional Donation to the UPDF Scholarship Fund UPDF is a tax-exempt charitable organization. Please help us continue our scholarship program! |
| _________ | Grand Total Enclosed Make checks payabe to UPDF, and mail to address above. |
| OR | |
| _________ | Payment by PayPal (instructions) |
All Classes are filled on a first-come first-served basis.
Checks may be made out to UPDF.
If you cancel by March 1, we can refund half of your deposit. If you cancel later we will keep the entire deposit. Phone cancellations must be followed by written notice of cancellation. Students canceling after March 1 due to unavoidable circumstances may send written documentation of their reason for canceling and request a partial tuition refund. These refund requests will be considered by our board following the end of the program.