REGISTRATION FORM

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