WomenSong 2017 Registration Form

WomenSong 2017 ONE DAY PROGRAM Registration Form

Thank you for your interest in the WomenSong retreat!
Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
E-mail
Birthday
xx/xx/xxxx
Vocal Range?
What vocal part do you normally sing? (high, middle, low or soprano, alto, tenor)
Other instruments?
Do you play any other instruments?
Special Needs?
Please list any food allergies, medical conditions, or special needs you may have so that we can take the best care of you!
Contribution Information, deposits and refunds:

50% of the deposit ($50) is refundable if requested prior to two weeks before the scheduled event (before May 12). After May 12, the entire deposit ($100) is non-refundable. Organizers reserve the right to determine any exceptions to this policy.

Early-Bird Admission: $100 deposit + $130 (cash or money order only) at the gate. This discounted price ends on April 15th!!!

Standard Admission: $100 deposit + $160 (cash or money order only) at the gate. Register by May 20th, please!

Teen Admission: $100 deposit + $80 (cash or money order only) at the gate. Register by May 20th, please!

ONE DAY PASS Admission: $50 - $70 sliding scale (participation at the event from 4-11pm on May 27 only). Register by May 23rd, please!

Send check or money order ONLY, payable to: Harmony Haynie PO Box 44 Williams, OR 97544. Please print your name neatly and write “WomenSong” in the memo line.
Financial Information
Method of Payment
Amount Included
Please enter the amount of your deposit
Please visit www.womensong.info for more information, and direct any questions, comments or concerns to Harmony Haynie at harmony@womensong.info.
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WomenSong 2017 ONE DAY PROGRAM Registration Form