Workshop Registration Form

Complete form in your Internet Browser.   When finished, print out this screen and mail it to: Worcester Hills Recorder Society c/o Jose Schroen-Levine 10 Farview Avenue, Shrewsbury, MA 01545 Please remember to include your check made payable to WHRS/JOMP. Registration must be received before February 29, 2008.  Registration after that date is possible, but not guaranteed. Early registration discount only applies if your registration is mailed before 1/31/08

First Name:

Last Name:

Address:

City:

Connecticut Maine Massachusetts New Hamphire New York Rhode Island Vermont

State:

Zip code:

Phone:

email address:

Advanced High Intermediate Intermediate Low Intermediate

Playing Level:

If you attended our workshop last year, were you satisfied with your class placement:

Yes No

If no, explain:

Recorders I will bring and play:

Sopranino

Soprano

Alto

Alto Up Octave

Tenor

Bass

Other Instruments I play and will bring:

Registration fee (select one):

WHRS Member - $75 Non WHRS Member - $80

Early registration discount (only if registering before 1/31/08):

None -$5

Lunch (Vegetarian Soup, Salad and Bread):

No thanks Yes, +$8

Total Registration Fee:

Can we include your name, address, phone and email in a list to be distributed to all workshop attendees and coaches?

No Yes

(c) Worcester Hills Recorder Society Last Updated: 1/03/08

Workshop Registration