SMJ - BAR HARBOR - 2019: INSTRUMENTAL REGISTRATION FORM Upon receipt, we will invoice you. SMJ WORKSHOP - BAR HARBOR 2019 INSTRUMENTAL REGISTRATION FORM Question Title * 1. Please provide your best email, and cell # for TEXT use during our SMJ week. Name Email Address Cell # Number OK Question Title * 2. In case of emergency, please contact: Name Phone Number (day and night) OK Question Title * 3. I am a .... Hobbyist Music Educator Working Musician College Student OK Question Title * 4. I play OK Question Title * 5. If you are new to Samba Meets Jazz Workshops, please share a little about your musical background. OK Question Title * 6. I will stay ... On campus Off campus OK Question Title * 7. If you are staying on campus, please select accommodation preferences Private Room (shared bath) ... $565 Double Room (shared bath) ... $465 Double Room used as Single (shared bath) .... $730 Private Room with ensuite bath (if available) ... $830 OK Question Title * 8. I will stay on campus and request the following meal plan Standard Fare Vegetarian Vegan Pescatorian OK Question Title * 9. I will stay on campus and have the following allergies ... OK Question Title * 10. I am a commuter, and have the following allergies and/or dietary restrictions. OK Question Title * 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. Yes .. I would like to participate in the lobster dinner No, I do not wish to participate in the lobster dinner OK Question Title * 12. I am a full-time working musician in financial need and request consideration for discount ... Yes No OK Question Title * 13. I prefer to pay by: Check PayPal (please note, there is a 3% PayPal fee) Venmo (please note, there is no fee if paid by Debit Card or Bank Account) OK Question Title * 14. I will submit payment as follows: Full payment by April 12, 2019 ($100 discount) Deposit ($500 by April 12, 2019 ($50 discount) Deposit or full payment after April 12, 2019 OK Question Title * 15. I heard about Samba Meets Jazz Workshops via Magazine Ad Online - Facebook Online - Other Someone recommended OK CLICK HERE TO COMPLETE YOUR REGISTRATION FORM!