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Print, complete, and mail this form:

Marocco-Ballarini Accordion Camp

REGISTRATION FORM

Please complete one form per playing participant. Non-playing
companion(s) may be added on the same registration form.

Playing participant: _________________________
Street / POB: _____________________________
City: ____________________________________
State: _____ ZIP: __________
Phone: _____________ Cell: _______________
E-mail address: ____________________________
Roommate preference: ______________________
Accordion playing skill (all levels must read music):
___1-Elementary ___ 2-Intermediate ___3-Proficient
Non-player: _______________________________
Street / POB: _____________________________
City: ____________________________________
State: _____ ZIP: __________
Phone: _____________ Cell: _______________
E-mail address: ____________________________
Roommate preference: ______________________
(Use separate sheet for additional non-players)
  • All participants receive a camp polo shirt. Please mark size(s): __S __M __L __XL __2XL __3XL
  • All sheet music will be sent to participants prior to camp. Please indicate how you would like to receive
    your music: ___Regular mail ___E-mail (PDF format) (check one)
Camp fee schedule
Persons
per room
(2 queen beds)
Playing
participant
Nonplayer
2
$
$
3
$
$
4
$
$
Commuter
$
$
Commuter fee includes lunch (Thu - Sat)
and dinner (Wed - Sat), but no breakfast.

Camp fee calculator


Playing participant @ $ ______ = $ _______
+
___ Non-players @ $ ______ = $ _______

TOTAL $ _______

Room preference: ____ Non-smoking ____ Smoking

Make check / money order payable to
Marocco-Ballarini Accordion Camp
Please do not send cash!
Registration form & payment must be received
no later than _____

Please mail to:
Marocco-Ballarini Accordion Camp
P.O. Box 2001
Rockville, MD 20847-2001





CANCELLATION POLICY. Full refund for cancellation will be made upon written request through _____. After _____, a cancellation fee of $ per playing participant will be deducted from the total
amount refunded.


QUESTIONS? Call (301) 279-8716 or send an e-mail to marocco-ballarini@comcast.net

 


 


 

 

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