and /or HELL'S CANYON FIDDLE FEST August 22, 23
Pilgrim Cove Camp, McCall, ID
Please complete application, and return it with your check postmarked by March 31, 2009 to:
Idaho Music Workshops
c/o Jana Jae
PO Box 35726
Tulsa, OK 74153
Refunds will be honored before June 30, 2009 less a $30 nonrefundable administrative fee.
Late application fee: $25 (postmarked after March 31)
Some scholarships are available. Contact Jim Freeman, email: jimandmarg@live.com
Enclosed please find my check, made payable to Idaho Music Workshops for:
____$325 Chamber Music, One Person, tuition, cabin occupancy, meals, canoeing, lake use
____ $275 Fiddle Fest, One Person, tuition, cabin occupancy, meals, canoeing, lake use
____ $200 Off-Campus residency, Per Workshop, includes tuition, meals, canoeing, lake use
____$150 Additional non-enrolled cabin camper, Per Workshop
____$80 Subsequent non-enrolled cabin camper, Per Workshop
____$35 Early arrival housing Tuesday or Friday
____$10 Early arrival dinner Tuesday or Friday
____$25 Late application fee (postmarked after March 31)
______ Total
I may cancel for emergency reasons by notifying the Committee in writing before June 30, 2009, for a full refund less a $30 administrative fee. Fee is nonrefundable if I cancel my reservation after June 30, 2009.
Name_________________________________________________________________________
Last First Middle initial
Address_______________________________________________________________________
Street City State ZIP
Telephone___________________ _____________________E-mail_______________________
Home Work
- 1 -
The instrument(s) I will play (in order of preference) are:
(1)_________________________ (2)______________________
Performance Level: Instrument (1): Novice____ Intermediate_____ Advanced____
Instrument (2): Novice____ Intermediate_____ Advanced____
I study music: Privately___ In school___ Occasionally____
I play often in: String quartets____ Ensembles___ Orchestra___ Other____________________
What would you like to work on during this Workshop?___________________________________
________________________________________________________________________________
(Chamber Music) I will arrive in time for freelancing Tuesday night (8:00 pm) Yes___ No___
Name, address and phone number of person and doctor to call in the event of an emergency:
NAME & ADDRESS: __________________________________________________________
Relationship______________________Phone_______________________________________
Doctor___________________________Phone_______________________________________
Health Ins.____________________#_______________ Group________ Phone_____________
NOTE: Any special health condition, or allergies to food? ______If so, please indicate:
___________________________________________________________________________________
I agree to follow the guidelines, rules, and safety regulations of Pilgrim Cove Camp and the Workshop Committee,
staff and instructors. I agree to release Pilgrim Cove Camp and the Workshop Staff and Committee, their agents, successors, and representatives, from any claim or action for injury, damage or theft to undersigned and his/her
property, and an invitee thereof, arising out of or related to participation of undersigned (and guest) in the said
event, and the undersigned's occupancy or use of Pilgrim Cove Camp.
Date________________________________ Signature of applicant__________________________________________
Date________________________________ Signature of applicant__________________________________________
_________________________________________________________________________________________________
Mail application and check for total amount to:
Idaho Music Workshops , c/o Jana Jae, PO Box 35726, Tulsa, OK 74153
More Info: 800-526-2523 or 918-492-8906 Website : http://jhl.tulsaconnect.com/janajae.htm