9th Old-Time Gospel Retreat Registration "Oct. 9 - 10, 2009"
NAME
______________________________________________________________________
ADDRESS ___________________________________________________________________
CITY _______________________________________ STATE
______ ZIP _______________
PHONE (day) ___________________________
(evening) ______________________________
EMAIL (Please
Print)___________________________________________________________
============================================================
Please offer workshops for the following instruments:
(Circle the instrument and the playing level)
MD Past Beginner Intermediate & Up
HD Past Beginner Intermediate & Up
Autoharp Past Beginner Intermediate & Up
Harp Past Beginner Intermediate & Up
Other instruments _____________________________
Full
Weekend Package
____ @ $150 ea. = $
________
($110 Center fee is included.)
**Includes: Friday dinner ~ Sunday
brunch-5 meals, dorm-style lodging, all activities
____ I WILL SLEEP IN
THE CENTER.
*I could sleep in an
upper bunk.
Yes No (circle one)
Roommate
preference (three or more to a room)
___________________________________________________________________
Full
Camping Package
____ @ $130 ea. = $
________
($100 Center fee is
included.)
(no hook-ups, pets must be on a leash at all times
)
Friday dinner ~
Sunday brunch, 5 meals, restroom/shower facilities, all activities
RV ___ Tent trailer ___ Tent ___
___
I will be bringing my pet
Weekend
Commuter
Package
___ @ $120 = $ ________
($80 Center
fee is included.)
Includes: Friday dinner ~ Sunday brunch-5 meals, all activities
T-Shirts ...
Short
sleeve
S/S t-shirt (circle your size) M L XL ____ @ $11 each = $ _______
L/S t-shirt (circle your size) XXL ____ @ $13 each = $ _______
TOTAL $
_________
AMOUNT ENCLOSED $ _________
Make checks payable to:
Country
Strings 50% due with
registration
Note:
Participants must be at least 18 years of age.
Pets in RVs outside. No
smoking in the Center.
Sure! I would be
willing to lead a sharing session.
___ Music (Topic: ______________________________________________)
___ Bible Study (Topic: _________________________________________)
___ Devotions/Vespers (Topic: ____________________________________)
*** If you have any questions, please call 937- 216- 2002.
Mail
registration and checks to: Old-Time
Gospel Music Retreat
c/o Joyce Harrison
4848 Johns Road
Houston, Ohio 45333
REGISTRATION DEADLINE: September 25, 2009 or until filled.