2023 Winterhaven Application Form

2023 Winterhaven Chamber Retreat Application Form

Please submit completed form and video to: winterhaven@bardin-niskala- duo.com. If you prefer to submit a recommendation from a coach or teacher in lieu of a video, please have your recommender submit the "recommendation form for coaches" (available on the bardin-niskala-duo.com/winterhaven page)

Please note: Participants must show proof of full vaccination or proof of negative PCR COVID test taken within 48 hrs prior to arrival. Protocols subject to change based on current CDC guidelines. Winterhaven reserves the right to cancel the 2023 retreat due to COVID.

Retreat Dates: January 8th -14th, 2023

Retreat Location: Avaloch Farm, 16 Hardy Ln, Boscawen, NH 03303

Deadline: October 1st, 2022

Name *

Address *

City *

State *

Zip *

Email *

example@example.com

Telephone *

Instrument *

Coming with a pre-formed group? If so, please describe

2. Please tell us about yourself: your background and musical experience, including a list of chamber pieces you have studied (specifying movements as needed), years of private study, other chamber workshops attended, and estimated ability. *

Are you a member of ACMP *

yes no

Fees

Application Fee Fee is waived for ACMP members

$ 25.00

Total

$ 0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.