ADULT REGISTRATION FORM
2008 Kentucky Music Week, June 22-June 27, 2008
PLEASE - PRINT THIS FORM, and fill it out using a ballpoint pen in clear lettering

PART I: Class size is limited to first come, first serve basis. This form is registration for one person only and may be copied for others.
NAME: ______________________________________________________
Child's Name (if needed): __________________________________________________Age___
Non-Participant's Name: ___________________________________________________
ADDRESS: ___________________________________________________
CITY, STATE, ZIP: ___________________________________________________
PHONE: ___________________________________________________
EMAIL: ___________________________________________________

PART II: CLASS SELECTION
 
Class: List the class you have chosen at each session, Monday through Friday.
Instructor: List your choice

MONDAY - FRIDAY

Session #1 (9:00-10:00)
Class: _________________________________________________________________

Instructor:

 _________________________________________________________________


Session #2 (10:30-11:30)
Class: _________________________________________________________________

Instructor:

 _________________________________________________________________


Session #3 (1:00-2:00)
Class: _________________________________________________________________

Instructor:

 _________________________________________________________________


Session #4 (2:45-3:45)
Class: _________________________________________________________________

Instructor:

 _________________________________________________________________


Session #5 (4:00-5:00)
Class: _________________________________________________________________

Instructor:

 _________________________________________________________________


PART III: FEES
(Please make check payable to KMW, INC.)

TUITION (Fees must accompany this application!)
 

Number

 Package Price Your Total
___ Full week adult or teen, any five sessions $240 $__________________
___ Full week adult or teen, any four sessions $220 $__________________
___ Full week adult, any three sessions $195 $__________________
___ Full week adult or teen, any one or two sessions $145 $__________________
___ Full week adult or teen, non-participant $50 $__________________
___ Full week child, 9:00 am-5:00 p.m. $125 $__________________
   

TOTAL:

  


Note: No charge for instructor concerts if you are registered with the festival.
Others  $5 per concert: $_____

TOTAL TUITION (Classes + Concert): $ ___________

MISCELLANEOUS FEES:

General Store - Sell your wares during the week. School Gymnasium will house the store this year. Fees are 15% of sales or $100 per 10' x 10' space. This is a great way to sell your wares! Vendors permits available through Nancy Barker (address below). Some restrictions apply.

KMW 2008 photos The cost is $8.00 for 8"x10" full color photo. Include payment with this form. I would like _____ copies. $__________

Musical Instrument Rental:


Number Instrument Rate Price
_____ Mountain Dulcimer $10/week $________
_____ Banjo $15/week $________
_____ Autoharp $15/week $________
_____ Harp $15/week $________
_____ Bowed Psaltery $15/week $________
   

TOTAL:

$________
Instruments available ONLY if confirmed in advance. It is best to rent your instruments locally and bring them with you.

KENTUCKY MUSIC WEEK OFFICIAL T-SHIRT AND TOTE BAGS!
 
Tote Bag $10  
S, M, L, XL  T-shirt $12  
XXL  T-shirt $14  
XXXL  T-shirt (limited color choice) $17  
Colors: White,   Forest Green,  Tan,  Blue

____Tote Bag   _____Cost
____Shirt Size _____Color _____Cost
 

Total Cost:_________

TOTAL MISCELLANEOUS FEES: $___________

MATERIALS:
Do not send these fees now. Pay instructor directly at first class.
 
Number Craft Rate per Person
_____ Beginning Smocking $10 per project
_____ Intermediate Smocking $20 per project
_____ Stained Glass, materials $20
_____ Baskets $10 to $20 per project
_____ Ukrainian Egg Decorating $5 per kit
_____ Gourds $5
_____ Knitting $5

LODGING:
You must call the motel or campgrounds to make your reservations.
Send no money; pay for the hotel upon your arrival!
    Quality Inn: (502) 348-9253
    White Acres Campground: (502) 348-9677
    Holt's Campground: (502) 348-6717

Cost at Quality Inn is $69.00 + tax, single or double or more!
Rooms must be booked prior to June 10th to guarantee your room and rates.
Shuttle service will be provided to/from Quality Inn and Boston School.

You also need to indicate your reservations on this form.

____Quality Inn     ___White Acres Campground    ___Holt's Campground     ___Other

Number of persons: ________

____ I have a roommate (if roommate is registering separately, list name here!): Name:___________________________________________________________________

Additional room requirements or needs:__________________________________________________

Please mail this form and your check to:

Nancy Barker, KMW, INC.
P.O. Box 86
Bardstown, KY 40004

Questions?
Call Nancy at (502) 348-5237 or e-mail us at info@kentuckymusicweek.com