GSGW Summer Camp (June 1 - 3, 2012)

                        Registration Form

1. Please print this form and mail it with your payment to:

    Kathy Francis, 4649 Cove Cliff Road, North Vancouver, BC  V7G 1H7

2. Please attach your cheque or money order for the Early Bird price CDN$ 275 (by April 1st)
   or the Regular price CDN$295 (after April 1st) payable to:

    THE GEORGIA STRAIT GUITAR WORKSHOP

Cancellation policy: A $25 cancellation fee is charged for all cancellations. Fees paid will be retained 
to be used as credits for future events with the understanding that the extent of the credit given 
on cancellations received within 14 days of any event will be at the discretion of the organizers.

Name: ______________________________________________________________________

Address: ____________________________________________________________________

         ___________________________________________ Post Code: __________________

Email: _______________________________________ Phone: (_____)___________________

Contact in emergency? __________________________________________________________

Non-vegetarian? ____              Vegetarian (lacto-ovo)? ____              Vegetarian (wheat-free)? ____

Are you willing to share your contact info with other participants?   Yes ____     No ____

If you've never attended a GSGW event before, how did you hear about us? 

____________________________________________________________________________________________

For GSGW administration use only:

Postmark date:                  ____________________

Cheque enclosed:              ____________________

Email confirmation date:    ____________________