decorative doo-dadREGISTRATION FORM
1999 Kentucky Music Week, July 19-23 1999
PLEASE - PRINT THIS FORM, and fill it out using a ballpoint pen in clear lettering
Class Schedule --- Administrative information
PART 1: Adult Enrollment (Ages 13 and up)
Class size is limited. Enrollment is first come, first served.

REGISTRATION FOR ONE PERSON
NAME: ___________________________________
ADDRESS: ____________________________________________
CITY: ____________________ STATE: ____________ ZIP: _________
PHONE: ___________________________ E-MAIL: ______________

REGISTRATION FOR SECOND PERSON (if needed)
NAME: ___________________________________
ADDRESS: ____________________________________________
CITY: ____________________ STATE: ____________ ZIP: _________
PHONE: ___________________________ E-MAIL: ______________

PART II: CLASS SELECTION
Class: List the class you have chosen at each session, Monday through Friday.
Level: Indicate if you are Beginning , Intermediate or Advanced.
Teacher: List your choice.
Refer to the online schedule to determine what classes are available at what times!

ADULT #1
MONDAY-FRIDAY
Session #1 (9:00-10:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #2 (10:30-11:30)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #3 (1:00-2:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #4 (2:45-3:45)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #5 (4:00-5:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #6 (6:15-7:30)
Class:______________________
Level: _____________________
Teacher: ___________________

ADULT #2
MONDAY-FRIDAY
Session #1 (9:00-10:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #2 (10:30-11:30)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #3 (1:00-2:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #4 (2:45-3:45)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #5 (4:00-5:00)
Class:______________________
Level: _____________________
Teacher: ___________________

Session #6 (6:15-7:30)
Class:______________________
Level: _____________________
Teacher: ___________________

PART III: FEES
(Please make check payable to KENTUCKY MUSIC WEEK, INC.)

TUITION (Fees must accompany this application!)

#______Full week adult, any five sessions per day for five days @ $180 =$______
#______Full week adult, any four sessions per day for five days @ $150 =$______
#______Full week adult, any three sessions per day for five days @ $120 =$______
#______Full week adult, any two sessions per day for five days @ $90 =$______
#______Full week adult, any one session per day for five days @ $45 =$______
#______Full week child, 9:00 am-5:00 p.m. pm @ $80 =$______
          (more than one child - discounts available)
#______Instructor concert @ $5 /$2 child=$______
                                TOTAL TUITION: $ ___________
MISCELLANEOUS FEES:Stephen Foster Drama Wednesday evening at Talbot Amphitheatre In Bardstown @$12 per person: $ _________
Dessert Train Ride and Jammin' On The Train Wednesday evening. @$12 per person: $ _________
General Store - Sell your wares during the week. Fees based on space required:
           10'x10"=$50 ________
           10"x20"=$75 _________
TOTAL MISCELLANEOUS FEES: $__________
PHOTOS:
KMW 1998 will be taken Tuesday. The cost is $7.00 for 8"x10" black and white. Photos will be ready by Friday Lunch.
I would like _____ copies. $__________

INSTRUMENT RENTAL: Musical Instrument Rental available if needed for a reasonable fee ($6-$15) Reserve your instrument now, but pay upon pick up! (Circle what you need)
      Mountain Dulcimer -- Hammered Dulcimer -- Banjo -- Autoharp -- Celtic Harp

MATERIALS: Do not send these fees now. Pay instructor directly at first class. Fees for crafts classes range from $10-$20 per project.

LODGING: We will make your reservations at the Best Western for you but you must call the hotel yourself to guarantee your room. (1-800-225-3977 or 502- 348-3977). Send no money; pay for the hotel upon your arrival! Cost at the Best Western is $57 +tax, single or double. Rooms must be booked prior to July 10th.

Please Reserve our room for the following nights:
Sunday, Jul 17 through Friday, July 22: ____(most popular)
Sunday, July 17 through Thursday, July 21: _____
Sunday, July 17 through Saturday, July 23: _____
I request a single room (one person) ____
Double room (two or more persons; cots available at additional charge): ____
____ I have a roommate (if roommate is registering separately, list name here!): ________________________
____ I would like you to find me a roommate
I request my room be smoking: ____ non-smoking: ____ doesn't matter: _____
Signature: __________________________

CAMPING: Available at Holt's Campground and Fishing Lake. Full Hookups, just around the corner from the motel. Pay Holt's directly. $10/night: _________

Please mail this form and your check to:
Nancy Barker, KMW, INC., P.O. Box 86, Bardstown, KY 40004
Questions? Call Nancy at (502) 348-5237 or e-mail us at KYTreeFrog@aol.com.