Orangeville Fiddle and Step Dance Camp Registration Form

ORANGEVILLE FIDDLE & STEP DANCE CAMP REGISTRATION

NAME_______________________________________________________

ADDRESS____________________________________________________

_____________________________________________________________________

PHONE _______________________ EMAIL _______________________________

Please fill in the appropriate categories below.
AGE (if child) _______ ADULT______ FIDDLE_______ DANCE__________

Residential__________ or Day Camp__________ (check one)

Getting to Know You	*Please circle answers*
FIDDLERS
Do you Fiddle?	YES		NO
Have you taken Lessons?	YES		NO
Do you play by:	EAR		NOTE		BOTH
What is your preference at camp?	EAR		NOTE
Are you currently taking lessons?	YES		NO
What is your teachers name?
What tunes are you learning?

What category best suits you? Please circle one
Novice... Never played
Beginner 1... Up to 1 year playing
Beginner 2... 1 to 3 years playing
Intermediate 1... 3 to 5 years playing
Intermediate 2... More difficult tunes
Advanced.... Difficult tunes in all keys
Would you like to try stepdancing?		YES		NO
DANCERS
Have you taken Lessons?	YES	number of years	NO
Type of Dance?	Canadian Step Dance		Tap		Irish
What is your teachers name?
SWIM How well do you Swim?
Good	Fair		Sink Like a stone

Register early and SAVE $50.00
RESIDENTIAL - (Live-in) Includes all meals, snacks, shared accommodation,
full instruction schedule, and evening activities.
$750.00 up to May 15. Plus G.S.T. (total $787.25)
After May 15, $800.00. Plus G.S.T. (total $840.00)
DAY CAMP - (Live-out) Includes lunch, snacks, and full instruction schedule.
$510.00 up to May 15. Plus G.S.T. (total $535.50)
After May 15, $560.00. Plus G.S.T. (total $588.00)
DAY CAMP with meals - (Live-out) Includes lunch, dinner, snacks, & full instruction schedule
$560.00 up to May 15. Plus G.S.T. (total $588.00)
After May 15, $610.00 Plus G.S.T. (total $640.50)
U.S. residents - Dollar exchanged at current rate, and pay no taxes.
When you have registered, you will be sent a list of things to bring,
medical forms, maps and telephone numbers.
$200.00 reserves your spot. Balance due by June 15. No refunds after June 15.
For further information call Bill Elliott at 519-941-5683.
Mail registration form c/w cheque payable to-----
Orangeville Fiddle & Step Dance Camp
325 Broadway, Orangeville, Ontario, L9W 1L4