Upper Potomac Music Weekends
Piper's Weekend Application Form

Send one form per person please!
Mail to: UPDF, PO Box 1474, Shepherdstown, WV 25443

 

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City: _______________________________________ State: ______________ Zip: _____________

Phone (home): _____________________________ (work): ________________________________

E-mail: __________________________________________________________________________

I play these instruments/level: _______________________________________________________

Classe Choice: 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 ($160)($145 if paid in FULL by Dec. 1) or
Non-refundable Deposit $35 (holds your space until Dec 20)
_________ Tuition for Saturday Only ($100)($90 if paid in FULL by Dec. 1)
_________ Tuition for Sunday Only ($75)($65 if paid in FULL by Dec. 1)
_________ Single Group Class ($40)
_________ Extra Saturday Concert Tickets(tickets are $15 adult, $12 senior, $8 children)
_________ Rental Pipes ($40)
_________ Saturday Catered Lunches ($12 each)
_________

Optional Donation to the UPDF Scholarship Fund

UPDF is a tax-exempt charitable organization.

_________

Grand Total Enclosed ____Invoice by PayPal (instructions)

Make checks payabe to UPPW, and mail to address above.

Cancellation Policy

If you cancel before December 10, we can refund all but your deposit. After December 15, we keep the entire tuition.

Students canceling after December 20 due to unavoidable circumstances may send written documentation of their reason for canceling and request a partial refund. Phone cancellations must be followed by written notice of cancellation. These requests will be considered following the end of the program.

If our entire program is cancelled due to extreme weather conditions, your entire tuition will be refunded. If we run a program, there will be no refunds available.