2010 Fiddleheads Camp Registration Form
Name:___________________________________________________
Address:_________________________________________________
City, State, Zip:________________________, ________, _______
Phone: (______) _________- ____________
E-mail Address________________________________________
Instrument(s) Played: ____________________________________________________________________
Level: Beginner Intermediate Advanced
Years Playing:___________________________________
Your Age_______ (for rooming purposes)
If we don't know you already, tell us a little about yourself and what you hope to get out of this workshop:
____________________________________________________________________________________________________
for Day Campers: facility fee
$35
Circle One: (Retreat Center) A B (Cabin) C D E
Registration Procedure:
1. Print Form (Click this button) ->
2. Fill in the requested information
3. Attach fee in the form of check or money order made out to Ellen Carlson
4. Mail this form, with your fee, prior to August 21, 2010 to:
Ellen Carlson
PO Box 62
Lochmere NH 03252
Click Here Go To Our Main Page