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Symposium-Registration
Registration for Orchestra Symposium
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
Your answer
Email address
*
Your answer
Emergency contact and phone
*
Your answer
Accommodations
*
Single Room ($675)
Double (shared) room ($550 per person)
If double room chosen, name of roommate (Note: roommate must register separately)
*
Your answer
Dietary Needs (check all that apply
*
Vegetarian
Vegan
Gluten-Free
None of the above
Required
Food allergies or other dietary requirements
*
Your answer
Your estimated playing skill level
*
Beginner
Advancing Beginner
Lower Intermediate
Upper Intermediate
Advanced
Your preferred dulcimer (check all that apply)
*
Standard
Baritone
Bass
Bowed
Hammered
Required
I will pay by
*
PayPal (includes option for credit card)
Check (to be mailed in)
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