2017 Registration Form

Please fill out this form for each attendee, regardless of age or whether they plan to attend music classes or are a companion.
* Required
Full Name *
Nickname *
for your nametag
Mailing Address *
Number, Street, City, State, Zip
Phone Number *
Best number to reach you
Are you Over 21? *

The 2017 Fiddle Class with Brian Conway is currently full and accepting wait-list only. If you are wanting Colin Lindsay's "not so fast" fiddle class, please let us know in the notes at the end of this form!

We schedule class periods to accommodate the most students possible getting BOTH of their class choices, but there are no guarantees. If we can't accommodate both choices, we try to at least schedule some one on one time with the instructors.
Roommate Preference
If you've selected Double, let us know a roommate preference (if you have one)
New for 2017

Payment: A non-refundable Deposit of $200 is due when submitting this form. When you click "Register Me!", you will be given a payment form for your deposit using a Credit or Debit card. Final Payments will be due by August 15, 2017.

Final Payment Preference *
Anything else we need to know?
Final Payment will be due August 15, 2017 by your Payment Preference above. Checks should be made out to "Portal Music Week". Susan will contact you for Credit Card payments.