Send one form per person please!
Mail to: UPDF, PO Box 1474, Shepherdstown, WV 25443
City: _______________________________________ State: ______________ Zip: _____________
Phone (home): _____________________________ (cell): ________________________________
I play these instruments: ____________________________________________________________
Playing Level: _____________________________________________________________________
Friday __________________________________ Weekend _________________________________
(Classes may be dropped if there is not sufficient interest by February 15, 2017)
|_________||Weekend Workshop Sessions ($190)(includes concert and all evening events)
($175 Early Bird Tuition Rate until February 15th)
(Friday Class is $50 additional for weekend registrants)
|_________||Friday Only ($85)(includes Friday evening concert)
($70 if paid by February 15th)
|_________||Saturday Catered Lunch ($15)|
|_________||Extra Friday Concert Tickets(tickets are $20 adult, $18 senior, $10 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.
|_________||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 February 15, 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.