BARK LAKE Woodwind/Saxophone Camp
Registration Form

To register, print and clearly fill out the information sheet below.
Send a $150 CAD or USD ) cheque deposit or the full amount $ 565 CAD or USD made payable to:
"Vic Bland"

Note: Bark Lake will accept credit card payments for the remainder of the amount owed upon arrival.
For more information call Bark Lake at (705) 447-2447 or (888) 517-9999.

Name:
Male    Female   
Address:
City:
Province/State:
Postal Code:
Country:
Home Phone:
Work Phone:
E-Mail:
Emergency Contact:
Emergency Phone:
Deposit amount for $150 CAD or USD check enclosed? Please check one: Yes        No   
Full amount for $ 565 CAD or USD cheque enclosed? Please check one: Yes        No   
Single occupancy Rooms are available @ $125.00 extra. Do you wish a Single? Yes        No   
Are you interested in bringing your spouse/partner to the camp as well? @ 465.00 extra Yes      No 
Could you please tell us what instrument(s) you will be bringing?
Comments:

Please mail registration form and cheque no later than May 30, 2008 to:

Bark Lake Woodwind/Sax Retreat, c/o Vic Bland, 93 Dunkirk Rd., Toronto, Ontario, Canada    M4C 2M5

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