SMJ WORKSHOP - BAR HARBOR 2019 INSTRUMENTAL REGISTRATION FORM

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* 1. Please provide your best email, and cell # for TEXT use during our SMJ week.

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* 2. In case of emergency, please contact:

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* 3. I am a ....

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* 4. I play

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* 5. If you are new to Samba Meets Jazz Workshops, please share a little about your musical background.

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* 6. I will stay ...

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* 8. I will stay on campus and request the following meal plan

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* 9. I will stay on campus and have the following allergies ...

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* 10. I am a commuter, and have the following allergies and/or dietary restrictions.

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* 11. I would like to participate in the lobster dinner on Wednesday night (an additional $17 for participants staying on campus; an additional $33 for commuters)   Regular fare is provided you do not order lobster dinner.

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* 12. I am a full-time working musician in financial need and request consideration for discount ...

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* 13. I prefer to pay by:

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* 14. I will submit payment as follows:

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* 15. I heard about Samba Meets Jazz Workshops via

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