WORLD Music and Dance CAMP 2001 - Oct 5-8, Plymouth, Massachusetts

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World Music and Dance Camp
October 5-8, 2001, Plymouth, MA

EMAIL REGISTRATION FORM: For use if your browser supports email. Please complete all fields and click submit button only once. Registration fees, in U.S. funds, should then be mailed to:
World Music & Dance Camp
c/o Ahmet Lüleci
17 Bartlett Crescent
Brookline, MA 02446

Name(s)
Address
City
State   Zip
Country Phone
Email

Accommodations - Choose one:
Men's Cabin | Women's Cabin | Coed

If you wish to be housed with someone, list all
names. ALL persons must indicate preferences here:

Food Preference - Choose one:
No Restrictions | Vegetarian | Other
Please explain further if necessary and describe
any food allergies or restrictions.

Music Consulting - I am interested in consulting on the following instrument(s)

Registration Fees Enclosed (please complete)
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Adult-Entire Weekend
# persons @ $315.00 each =
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Adult-No Accommodations
# persons @ $260.00 each =
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Youth - Ages 8 through 24
# persons @ $157.00 each =
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Children - Ages 0 through 7
# persons @ FREE =
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Early Registration Discount!
# persons @ <$25.00 off> =
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Late Fee - After September 28th
# persons @ $ 20.00 each =
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TOTAL ENCLOSED..................

Waiver of Responsibility
World Music and Dance Camp does not cover bodily injury to any person participating in dance or other activities which we sponsor or which are conducted on premises we rent or use. Your registration signifies acceptance of the above statement and that you personally assume responsibility for any medical costs incurred.

For more info, our website is www.geocities.com/worldcamp or call or fax us at: 617-232-4140. You can also email us at: Ahmet@rcn.com or worldcamp@yahoo.com

Last updated Wednesday August 29, 2001
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