Folk Music at Weatherbury Farm Registration Form --  Weekend Workshop
 

Name __________________________________

Address ________________________________   City _____________ State______ Zip_________

Day Phone _________________________    Evening Phone ______________________

Email Address ______________________
 

Workshop

 Date/Instructor_____________________________

 

 Lodging Request:

Room _______  or Suite _______

Rooming with________________
 

Lodging Rates for weekend workshops
(2 nights)
 

Summer Kitchen Room

Livery Suite
One Person $173.67 $252.17
Two People
(per person)		 $99.12 $138.37
Each additional Person $24.57

_________________________________________

Meal Information:

I am a vegetarian _______ (Lunch included in workshop cost: Saturday)

Special dietary needs or requests_____________

 

Total Tuition 
$    110

Total Lodging
$__________  

Sub Total 
$__________

less Deposit*   
$__________

Balance due
4 weeks prior
to workshop		 $__________

Signature _______________________________                    Date _____________________

* Deposit Amounts::
       Weekend Workshop: Tuition $30; Lodging $50      

The balance is due 4 weeks prior to the workshop. Persons needing to cancel more than 3 weeks prior to the workshop will receive a refund of all monies except deposits. Cancellations within 3 weeks of the workshop will receive a refund (less deposit) only if the class space can be filled.

Please make deposit payable to:  Weatherbury Farm
and mail to: Weatherbury Farm, 1061 Sugar Run Road, Avella, PA 15312

Substitutions in staff will be made only when unavoidable.
Folk Music on the Farm may cancel any class which has insufficient registration, 3 weeks prior to the class. All monies will be refunded.