MAIL THIS COMPLETED REGISTRATION FORM BY JULY 20 TO KAREN COCHRANE, PO BOX 424, BURLINGTON, IN 46915 MAKE CHECKS PAYABALE TO NCGLNAC, INC.
Name _______________________________________________________________
Phone ________________ Email _______________________________________
Address ____________________________________________________________
City _________________________________ State _______ Zip ___________
Session One First Choice* __________________________________________
($70 or $140 registration) $________________
Session One Second Choice* _________________________________________
($70 or $140 registration) $________________
Session Two First Choice* __________________________________________
($70 registration) $________________
Session Two Second Choice* _________________________________________
($70 registration) $________________
*Each participant will pay a supply fee to the class tradition bearer*
Meals (two for $14 or four for $28) $_______________
Please check evenings for your meals: Mon.____ Tues.____ Wed.____ Thurs.____
TOTAL REGISTRATION ENCLOSED $_______________
If registering for the personal drum class, please indicate by July 15 which
size/style here____________________________
I am camping________ or commuting__________ or staying at a motel_____________
and will make my own reservations.