Application Form… please send one form per person.
Name:__________________________________________ Address:________________________________________ City:___________________ State:______ Zip__________ Phone: (home) ________________ (work)______________ Email address:____________________________________ I play (instruments):________________________________ Playing Level:____________________________________ Class Choice (please check the class you wish to attend): ___ Adv. Beginning HD (Karen) Full Intermediate HD (Jenny) Class full 2/15/08 ___ Advanced HD (Jody) ___ English Song (John) ___ English Country Dance Class (Peter, Paul & Mary) Please specify focus ___ Fiddle (Mary) ____Flute (Peter) ___ Piano (Peter) ___ Other stringed instrument (Paul) (_____________________) Tuition and Fees ________ 3 Day Workshop Session ($175) (includes concert and all evening events) _______ Extra Saturday Concert Tickets (tickets are $15 adult, $12 senior, $8 children) _______ Reserved Lodging at Cliffside Inn (Y or N) _______ Rental Hammered Dulcimer for 3 days (___$30 for 12/11, ____$40 for a larger chromatic instrument)
________ Saturday Only $90 (English Song only)
_______ Optional Donation to the UPDF Scholarship Fund UPDF is a tax-exempt charitable organization. Please help us continue our scholarship program! _______ Grand Total Enclosed All Classes are filled on a first-come first-served basis.
Make checks payable to: UPDF
Send to: UPDF PO Box 1474 Shepherdstown, WV 25443
Feel free to Call or email us !
Cancellations: 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 15 due to unavoidable circumstances may send written documentation of their reason for canceling and request a partial refund. These requests will be considered following the end of the program.