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)