Mountain Playshop 2008 Registration Form
Make check payable to: David Auty
Mail to: Playshop Registrar, 3915 Sunset Maple Ct., Raleigh NC 27612
ALL PAYMENTS DUE AT START OF CAMP OR UPON ARRIVAL

CONTACT INFORMATION
(To Print: Select File --> Print from your browser.)

NAME: _____________________________________________

NAME: _____________________________________________

ADDRESS ___________________________________________

CITY, STATE, ZIP: ____________________________________

PHONE: (_____) ____________________________

E-MAIL: ___________________________________

FOOD: (__) omnivore (___) vegetarian

ALLERGIES? ________________________________________

CABIN PREFERENCE: (___) men (___) women (___) mixed

OTHER: (___) tent (___) motel

RATES
Full Time: Adult/$110 ______ Child/Teen $45 ______

AL LA CARTE (Please Pre-Register)
Meals ($12 each)
Fri. Dinner ___ Sat. Breakfast ___ Sat. Lunch ___
Sat. Dinner ___ Sun. Breakfast ___ Sun. Lunch ___

Workshops ($15 each)
Sat. Workshop ___ Hot Balkan ____ Sun. Review ___

Parties ($15 each)
Fri. Party ___ Sat. Party ___

Pre-order Music CD: $5/each ____
Pre-order Dance DVD: $20/each ____
Canvas shoe bag: $10/each ___

SUBTOTAL RATES: ________

DISCOUNTS
Bring a Friend/$15 (For Friend and Sponsor) (______)
Musician/$15 (Per Person) (______)
Motel/$15 (Per Person) (______)

SUBTOTAL DISCOUNTS: (_______)
Postmarked after July 25? Add $10 late fee: _____

TOTAL ENCLOSED (Subtract Discounts from Rates): ____________