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BAR HARBOR
SMJ WORKSHOP - BAR HARBOR 2022
1.
I am registering for the SMJ - BAR HARBOR
Tap Dance Program
Instrumental Program
2.
Please provide your best email, and cell # for TEXT use during our SMJ week.
Name
Email Address
Cell # Number
3.
In case of emergency, please contact:
Name
Phone Number (day and night)
4.
I am a ....
Hobbyist
Music Educator
Working Musician
College Student
5.
If you are new to Samba Meets Jazz Workshops, please share a little about your music and/or dance background.
6.
I will stay ...
On campus
Off campus
7.
If you are staying on campus, please select accommodation preferences
Private Room
Double Room
Double Room used as Single
Private Room with ensuite bath (if available)
8.
I will stay on campus and request the following meal plan
Standard Fare
Vegetarian
Vegan
Pescatorian
9.
I will stay on campus and have the following allergies ...
10.
If you are a commuter, would you like to opt-in for lunches (Mon-Friday)
YES
NO
NOT SURE YET
11.
I am a full-time working musician or dancer in financial need and request consideration for discount ...
Yes
No
12.
I prefer to pay by:
Check
Venmo (no fee if drawn from your bank account or debit card)
Zelle (no fee)
Credit Card (3% surcharge)
PayPal (3$ surcharge)
13.
I will submit payment as follows:
Deposit (50%)
Full Payment
14.
I heard about Samba Meets Jazz Workshops via
Magazine Ad
Online - Facebook
Online - Other
Someone recommended
