ADDRESS:
_______________________________________________
_______________________________________________

PHONE:
Day (______) __________________
Evening (______) _______________
 

ACCOMMODATIONS (Please indicate for each person listed above):
Bunk_________________________________________________ (Indicate M/F)
Tent _________________________________________________
Own _________________________________________________
 

Workshop Information  (please list names of participants)

Fiddle: Beginning______________ Intermediate_______________Advanced________________
Dance: Beginning______________ Intermediate_______________Advanced________________
Nyckelharpa: Beginning_________ Intermediate______________ Advanced________________

Musicians: Please give us an idea of your experience.

Dancers: Please give us an idea of your experience, and what you hope to work on.

PRICES:

FULL-TIME (Friday 8pm - Sunday lunch)

Received on or before Oct. 14:
________ A@$100  _________ T@$60  ________ C@$35    =        $_____________
Received after Oct. 14:
________ A@$110  _________ T @$65  ________ C@$40    =        $_____________

SPECIAL EARLY WORKSHOP/POTLUCK:
__________@$10                                      =        $_____________

PART-TIME:
Friday Workshops & Dance:
________ A@$15  _________ T@$6  _________ C@$3     =         $_____________
Saturday Breakfast:
________ A@$6  ________ T@$4  ________ C@$3        =         $_____________
Saturday AM Sessions & Lunch & Afternoon Sessions:
________ A@$41  ________ T@$27  ________ C@$18     =         $_____________
Saturday Supper, Concert & Dance Party:
________ A@$18  ________ T@$10  ________ C@$7      =         $_____________
Sunday Breakfast:
________ A@$6  ________ T@$4  ________ C@$3        =         $_____________
Sunday AM session & Lunch:
________ A@$24  ________ T@$16  ________ C@$9      =         $_____________

ACCOMMODATIONS:
_______ # people x _______ # nights x $_______ (rate)       =         $_____________

TOTAL DUE                                         =         $_____________

Amount enclosed (minimum 50%)                                  $_____________

BALANCE DUE upon arrival                                     $_____________

________ SASE enclosed for confirmation

If paying by credit card, please provide:
__________ Visa  ___________ Mastercard
Expiration Date:_______________________
Card Number:________________________
Name as it appears on your card:
____________________________________
 

Mail registration form to:
Folklore Village Farm
3210 Co. Hwy. BB
Dodgeville, WI 53533