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Adult Weekend Retreat 2021 Registration
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Gender
Male
Female
Preferred Contact Method
Email
Phone
Ensemble Information
Fill in your instrument in the first slot, and the members of your ensemble in the additional slots. The full list of your ensemble is not required for your registration. Ensemble information can be added later, after your ensemble details are settled.
Your Instrument #1
*
Name/Instrument #2
Name/Instrument #3
Name/Instrument #4
Name/Instrument #5
Name/Instrument #6
Lodging
A limited number of shared ICCA cabins is available. There are many hotel/motel/B&B accommodations in the local area.
Where will you stay?
prefer shared cabin
I will find my own housing
Online Payment
Payment of tuition is due by July 1, 2021. Payment for shared cabins and meals is due August 1, 2021. Leave the payment options unchecked if you are not paying online at this time. You may pay by sending a check to Chamber Music Madness, PO Box 27164, Seattle, WA 98165
Tuition
$325
Lodging (shared cabin)
$210
Meals
$200
I would like to make a tax deductible donation to support Chamber Music Madness student programs:
$
Add 3% to my total amount to help cover the payment processing fees