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Marocco-Ballarini Accordion Camp
REGISTRATION FORM
Please complete one form per playing participant. Non-playing
companion(s) may be added on the same registration form.
Playing participant: _________________________
Street / POB: _____________________________
City: ____________________________________
State: _____ ZIP: __________
Phone: _____________ Cell: _______________
E-mail address: ____________________________
Roommate preference: ______________________
Accordion playing skill (all levels must read music):
___1-Elementary ___ 2-Intermediate ___3-Proficient |
Non-player: _______________________________
Street / POB: _____________________________
City: ____________________________________
State: _____ ZIP: __________
Phone: _____________ Cell: _______________
E-mail address: ____________________________
Roommate preference: ______________________
(Use separate sheet for additional non-players) |
- All participants receive a camp polo shirt. Please mark size(s):
__S __M __L __XL __2XL __3XL
- All sheet music will be sent to participants prior to camp.
Please indicate how you would like to receive
your music: ___Regular mail ___E-mail (PDF format) (check one)
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Camp fee schedule
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Persons
per room
(2 queen beds)
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Playing
participant
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Nonplayer
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2
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$
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$
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3
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$
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$
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4
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$
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$
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Commuter
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$
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$
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Commuter fee includes lunch (Thu
- Sat)
and dinner (Wed - Sat), but no breakfast.
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Camp fee calculator
Playing participant @ $ ______ = $ _______
+
___ Non-players @ $ ______ = $ _______
TOTAL $ _______
Room preference: ____ Non-smoking ____ Smoking
Make check / money order payable to
Marocco-Ballarini Accordion Camp
Please do not send cash!
Registration form & payment must be received
no later than _____
Please mail to:
Marocco-Ballarini Accordion Camp
P.O. Box 2001
Rockville, MD 20847-2001
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CANCELLATION POLICY. Full refund for cancellation will
be made upon written request through _____. After _____,
a cancellation fee of $ per playing participant will be deducted
from the total
amount refunded.
QUESTIONS? Call (301) 279-8716 or send an e-mail to marocco-ballarini@comcast.net
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