REGISTRATION FORM - Fiddler's Dream Music & Dance Camp
Kingston, OK (Lake Texoma), Fri - Mon Dec 28 - 31, 2007
Name(s)________________________________________________________________
Name(s)________________________________________________________________
Street_________________________________________________________________
City_____________________________ State___ Zip_______ Ph# (___)___-____
E-mail___________________________________
Please do NOT list me in attendees directory. ___
Please provide the ages of all children registering with you.
_______________________________________________________________________
Dance, Music, or Other Session/Workshop: (what you'd like to OFFER
to lead OR what you'd like to see happen, and a suggested leader)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Instrument(s) I will bring and play:
_______________________________________________________________________
I can play as a member of these Band(s):
_______________________________________________________________________

I'll volunteer to help:  set up (need 6 or so) ____   
replenishing snacks ____   final clean up ____
running sound for 1 session ___   2 sessions ___

I'd like to reserve T-shirt(s). Put # of shirts of each size.
S___ M___ L___ XL___ XXL___ (pay at camp, about $12-$15)

Accommodations: Put the # of campers in the appropriate blanks.
I prefer to stay off-site ______
Cabins: Women's: ______ Men's: ______ Couples: ______
Family(with kids): ______       I SNORE ____
I am single and would stay in a couples cabin ____ or family cabin ____
I want to stay in the same cabin as ___________________________________

NOTE: If using RV or Tent, contact registrar for prices.
                        Cabins & Meals   Meals Only  RV or Tent                                    
Full Time Adults (Fri-Mon)  ___ X $126   ___ X $88   ___ X ??
Full Time Kids, age 1-12    ___ X $ 63   ___ X $44   ___ X ??

For Part Time, indicate WHICH 2 DAYS: FRI-SUN ___ or SAT-MON ___
Part-time Adults            ___ X $86    ___ X $62   ___
Part-time Kids, age 1-12    ___ X $43    ___ X $31   ___

AFTER Dec 1, ADD $10/person ___ X $10    ___ X $10   ___ X $10

GRAND TOTAL: _______ people, $________

Make checks payable to: NTTDS and mail to
Mimi Rogers, 3415 Manana Dr., Dallas, TX, 75220
or by e-mail: [email protected] or phone 214-357-8213
Use back, if necessary for any questions.
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