REGISTRATION FORM 2010
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 Ct., 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 $________ Tax deductible donation $_________

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 ___________________________________________________________________

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