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Earth Drum Council Weekend, June 10-12, 2005
Registration Form

Name(s)______________________________________________________________

Address______________________________________________________________

City_____________________________ State______________ Zip ______________

Phone: home__________________ work___________________  email:_____________________

Best time to reach you?__________

FEE:

Registration Fee		$_______	x____(#adults)		=	$_________(a)
Friday Intensive		$ 75	x____(#adults)		=	$_________(b)
Children (arrange price with EDC)					=	$_________(c)
Total Due: (a thru c)						$_________

Enclosed (check one):	___ Total due
	___ Deposit of 50% ($_________)
	___ Scholarship application attached
Balance Due: $_______ (balance due by June 1 or on-site fee applies)

Make checks payable to Earth Drum Council.

Please help us by giving us the following information:

• I/We will be ____ staying in lodge** ____ tenting
  **prefer: ___all women; ___all men; ___mixed OK; ___with friends listed on back
• Food preference: ____ dairy; ____ non-dairy (If you leave blank, we count you as dairy)
• Do you have a drum? ______ If yes, what type:___________________________________
• What is your experience level? ___never touched a drum  ___beginner   ___intermediate  ___advanced

Earth Drum Council reserves the right to ask any participant to leave the event without a refund if his/her behavior is disruptive to the event. I understand that neither Earth Drum Council nor Camp Hi-Rock and its management is responsible for personal injury or loss of property during this event.

(signed) ____________________________________ (date) _____________
No registrations will be accepted without signature. Each adult registering must sign.

To register, please print this form, complete it, and mail it along with your deposit to: EDC, PO Box 1284, Concord, MA 01742