Alternative Registration Method:
Please download and print
the PDF registration form,
and mail your completed form
along with your registration fee
to the director of workshop.

Phyllis Pasley
2208 Clouds Peak
Maryland Heights, MO 63043

email Phyllis Pasley
or call (314) 628-9862

Welcome to the Windswept Music Workshop
Treasurer Information and Registration Form

Please Enter the information below and press the submit button
NAME
Salutation: Mr. - - Mrs. - - Ms. - - Dr.
First :
Middle :
Last:


Address and Contact Info
Mailing Address - Street Address:
City / Town : State / Province : Zip

Phone:
Other Phone:
E-mail 1:
E-mail 2:

(Adults- you may enter your school/business name here):


T-Shirt size* small    medium    Large    XL    XXL    XXXL
*T shirts may not be available for those registering after June 15.

To help prepare my invoice:
(Payment of all fees is due prior to or during registration on Sunday afternoon at the start of the conference.)

 I will be processing (or have processed) a registration fee in the amount of:
$50 (prior to May 15) - - or - - $75 (after May 15)


I will be registering for Windswept at the following rate.
student $400     adult non-member $535     adult member $475    1/2 week intro $275
   student family discount rate $350   adult family discount rate $375


OTHER OPTIONAL CONFERENCE EXPENSES
Complete the information below. If your plans change, after submission, we will make every effort to accomodate your needs.
I plan to request a private lesson(s). ($25 each) - - Quantity
I would like an accompanist to attend my private lesson(s) ($10) - - Quantity


I plan to request a private room for an additional $75 fee (if space is available)
I would like to purchase an additional t-shirt. ($10) - - Quantity and size requests

I plan to purchase a Celebration/Memory DVD. ($15) - - Quantity
I plan to purchase a copy of the annual full-group picture ($4) - - Quantity

If ground transportation is available for me from the Windswept hospitality team I will owe up to $25 per trip.
- - - - - - - - (If multiple riders, the $25 fee may be shared)
Please indicate your needs for one-way or round trip, and if known - name those who will likely share the ride with you.
one-way roundtrip - - - - potential riders:

OTHER FINANCIAL INFORMATION
-I have applied for financial aid.
-I am a scholarship award recipient.
-Others in my family are also registering, and/or I may be eligible for additional discounts or credits.


For First Time attendees: If you were referred to this workshop
by a member of the Creative Motion Alliance, Help us reward your friend!
My friend: told me about this workshop!


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Page Last Updated:
08/01/2008
© 2007 Creative Motion Alliance, Inc.
All Rights Reserved
Web Design -Tom Pasley, Inc.