Registration Form 2008 PLEASE
FILL OUT AND PRINT
or cut and
paste form into email
Name (to appear on badge):
Street Number:
City: State/Province:
Country:
Postal Code:
Telephone Number:
Fax Number:
E-mail Address:
Gender: M F
Age, if under 18
Roommate Preference (if any)
Smoker Non-smoker
Early Bird
Night Owl
Are you applying for a camp scholarship?
(Application
available on website)
I will attend Folk Dance Camp: First Week
Second Week Both Weeks
This will be my year at Camp
I will be interested in University credit (an additional fee required)
Fee Schedule:
A. $400 Commuter camper
(tuition only)
B. $750 Tuition, shared room
and all meals
C. $825. Tuition, private room, and
all meals
plus a $10 per week linen fee (or bring your own sheets, pillow cases and
towels)
Add a $10 per week linen fee I’ll
bring my own linens
Enclosed is my deposit of $
($75 per person per week due now, with an additional $225 per week due by May
15)
No deposit refunds after May 15, unless your position is filled by a person on
the waiting list.
Make checks payable to: FOLK DANCE CAMP
You may use your Credit Card:
How much do you want charged to your card now?
Visa Master CardCard
Number
Expiration Date
Name as it appears on the card:
Signature: _______________________________________________________
| Return to: Folk DanceCamp Attention Jan Wright 36676 Viola Meadows Court Shingletown, CA 96088 |
Questions? Ask Jan jmwright32@frontiernet.net (530) 474-3231 (telephone) |