Jink & Diddle School of Scottish Fiddling Summer Registration Form

Jink & Diddle School of Scottish Fiddling ~ Summer Registration Form

Full Given Name*

Preferred Name

Gender

FemaleMale

Address*

Email*

Phone*

Texting Acceptable?

YesNo

Age Category

Under 2121-3536-50Over 50

Age

If under 12

Session*

Week 1 - Jul 25-Aug 1

Weekend - Jul 30-Aug1

PLEASE READ CAREFULLY and CHECK ALL THAT APPLY - the Weekend is included in Week 1

Participation Level - PLEASE SELECT CAREFULLY

Resident ParticipantNon-Resident ParticipantResident Non-Participant

Scholarships

I have a Wk 1 Schol. from Jink & Diddle

I have applied for a Wk 1 Schol. from Jink & Diddle

I have a Schol. from an external source

I have applied for a Schol. from an external source

Amount of any scholarship(s) awarded

$

Rooming Preference

Shared RoomPrivate Room - additional feeNot applicable

Indicate your preferred accommodation building below. (See the 'Lodging' tab at vcconferences.org)

Accommodation preference - check 1st choice

The Inn

Mission House

Additional Information*

I DO NOT smokeI smoke

Roommate Preference

If non-resident

Special Needs or Requests

Dietary Preferences

Individual Lessons

I WOULD attend an individual lesson before 8 AM

Earliest start time

Lesson scheduling

15 minutes daily30 minutes alternate dayseither

Instruction Preference

Work with only one instructorHave exposure to multiple instructorsNo preference

Instructor Preference

Which Melody instrument* will you play at Summer Jink?

How long have you been playing that instrument?

How long have you been playing Scottish fiddle music?

Rate your ability to read music

Rate your proficiency level on your instrument

Anything else we should know about your musical experience?

I might PLAY

for the dance workshops

for the Lighted Ha' Dance

I might DANCE

at the dance workshops

All musicians are encouraged to try Scottish Country Dancing at fiddle school - even if they never aspire to be dancers! If you think you might participate, please check the appropriate boxes above. (NOT a commitment!)

Any limitations?

Payment Method*

Zelle to jinkdiddle@aol.com (preferred)PayPal / Credit CardCheque by mail

Payment Amount*

$

All checkboxes must be checked*

Recordings or photographs

... may be made during any session for archival or non-commercial purposes, including publicity. By signing and submitting my application, I consent to being in such recordings or photographs.

I understand

... that I have been requested to comply with practices consistent with minimizing health hazards for all school participants and the local community.

I have agreed

... to submit this application by electronic means. By signing this application electronically, I certify that I have read and understand the appropriate Payment and Cancellation Policy.

I further understand

... that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Step 1* - Check the box below

Agreement

By checking this box and typing my name below, I am electronically signing my application.

Step 2* - Type in your name between forward slashes

NOTE - When the screen goes blank after you submit, scroll up to see confirmation that your submission was successful.