2017 Registration Form
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You may complete this online and then print it out.

Applying to PW: East, June 14-18 West, July 2-9 VA, July 23-30
Name
Address
City

State

Zip

Home phone

Work

Mobile

Email

 Emergency contact

Guest name
Special needs
 

Instrument(s)

(first)

(second)

  In general, groups may be pre-formed for only one of the group assignments per workshop:
 
Technical level

Excellent  Very good  Good  Fair

Experience

Much  Some  Very little  None

A more detailed questionnaire regarding your playing level will be mailed to you.

Enclosed:

$200 Deposit per workshop or
 

Paid in full Amount $

  Mail this form with a check made payable to
  "Princeton Chamber Music Play Week" to:

NEW ADDRESS!!

David Bakamjian, Director
Play Week
158-18 Riverside Drive West, Apt 6L
New York, NY 10032