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.
NTTDS Home
Weekend Details
Map and Directions
Download suggested tunes (189 KB PDF file)
Flier (585 KB PDF file)
with pictures, info, and registration form, etc.