Name:
*
First Name
Last Name
Email:
*
Phone:
*
(###)
###
####
Mailing Address:
Your primary instrument:
Fiddle
Guitar
Mandolin
Banjo
Bass
Vocals
Cello
Other
Music appreciator here for a fun weekend
Your level of proficiency:
Newcomer
Basic
Intermediate
Advanced
Are you registering multiple participants (friends, children, spouse) with this form?
Yes, this registration form is for multiple people
No, I am only registering myself
If yes, please list name, age, instrument, and proficiency of all other participants in your group:
I/we will be:
attending the full weekend (two nights)
attending Sat/Sun only (one night)
I/we will be:
staying in a cabin - coed/family style
staying in a cabin - prefer women-only
staying in a cabin - prefer men-only
bringing our own private tent
Please note any dietary restrictions for our team:
Emergency contact name, relationship + cell:
After registering, participants will be emailed a link where they can select their workshop choices. You may edit or modify your choices at any time.
If you would like to pre-order a Whole Music Camp hat (musical dogs design), please note the quantity below. Pick up upon arrival at camp. Universal youth/adult hat size, $20:
0
1
2
3
4
5
6
Payment type:
Cash or check in person on July 12
Check mailed to POB #1322, Cedar Ridge CA 95924
Venmo to @Amie-Ferrier
I/we will comply with any applicable San Juan Unified School District covid protocol:
______________________________
Thank you!
Your registration for Whole Music Camp 2024 has been submitted and is confirmed. We can’t wait to see you on July 12-14th!
Watch for a welcome email coming soon with a link to select your weekend workshop choices.
