Please use one registration form per person , including children (photocopy as needed.) Make checks payable in U.S. dollars to: WMADI. Mail to: WMADI, 9609 Pinkney Court, Potomac , MD 20854 . Please enclose a self-addressed, stamped envelope with your registration if you want confirmation by mail . Otherwise, be sure to provide an email address so we can confirm your registration.
Name___________________________________________________________________________________________
circle one: Male Female Age (if under 16) ____ Amount enclosed for this registration $______________________
Address: ________________________________________________________________________________________
City/State/Zip______________________________________________________________________________________
Home phone _________________________________ Work Phone _________________________________________
Email (required if you do not elect mail confirmation) _______________________________________________________
I might want a size _______t shirt if you have them for sale (no commitments)
I plan to stay in a tent yes ______ no _______ (Cabin space will be assigned for toilet facilities.)
Cabins: men only _______ women only _______ coed _______ family w/kids _______
Names of people I plan to room with (please make sure that they register)__________________________________
I plan to eat vegetarian? ____ vegan? ____ omnivore? ____ (please check one)
Other special eating or sleeping requirements____________________________________________________________
I plan to take an instrumental class? ___ Which one(s)?)________________ I need to borrow an instrument_______
I have an instrument to share: _________________
I need a ride _____ I'm willing to give a ride and have room for ______ riders