Name:
*
First Name
Last Name
Email:
*
Phone:
*
(###)
###
####
Mailing Address:
Your primary instrument:
Fiddle
Guitar
Mandolin
Banjo
Bass
Vocals
Cello
Other
Music appreciator here for a fun day
Your level of proficiency:
Newcomer
Basic
Intermediate
Advanced
Are you registering multiple participants (friends, children, spouse) with this form?
Yes, this registration form is for multiple people
No, I am only registering myself
If yes, list name, age, instrument, and proficiency of all participants in your group. Number each person #1-3 - this will correspond with their workshop selection lists below. Maximum four participants per registration form. Use an additional form if your party exceeds four people:
example:
#1. Quinn, age 11, beginning fiddle
#2. Darby, age 1, just here for a fun day
#3. Eli, age 47, intermediate guitar
Your own workshop selections - please select 5:
Additional participant #1 (if applicable), select 5 workshops:
Additional participant #2 (if applicable), select 5 workshops:
Additional participant #3 (if applicable), select 5 workshops:
Lunch is BYO and dinner is catered. Please note any dietary restrictions for our dinner:
Emergency contact name, relationship + cell:
If you would like to pre-order a Whole Music Camp hat (musical dogs design), please note the quantity below. Pick up upon arrival at the Meadow Party. Universal youth/adult hat size, $20:
0
1
2
3
4
Payment type:
Cash or check in person at the Meadow Party
Check mailed to POB #1322, Cedar Ridge CA 95924
Venmo to @Amie-Ferrier
I/we have read the FAQ page and understand the cancelation policy:
