Registration for Oct. 3th-7th, 2022
Song Travelers Songwriting Retreat - Eagle Point, North East, Maryland
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Birthday
*
Phone Number
*
-
Area Code
Phone Number
Emergency Contact #1
*
First Name
Last Name
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Emergency Contact #1 Phone Number
*
-
Area Code
Phone Number
Emergency Contact #2 Phone Number
*
-
Area Code
Phone Number
Any Dietary Preferences, Restrictions, Allergies or Special Needs?
*
YES
NO
If Yes, explain
*
Any Health Conditions or Allergies we should be aware of?
*
YES
NO
If yes, explain
*
Are you a novice, serious hobbyist or music professional (or something else entirely?)
*
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What are you hoping to gain from this workshop experience?
*
Where did you hear about us?
*
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