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:
  Weekend Fee               $_______  x____(#adults) = $_________ (a)           
  Friday Workshop           $ 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.
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To register, please print this form, complete it, and mail it with your
deposit to: Earth Drum Council, PO Box 1284, Concord, MA 01742 USA
Questions? Contact us at (978) 371-2502 or by e-mail at edc@earthdrum.com