2009 APPLICATION
IDAHO STRING CHAMBER MUSIC WORKSHOP August 19, 20, 21

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

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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