Lute Society of America,Inc. - Bi-Annual Summer Seminar 2012

~ LSA Seminar 2012 Registration Form ~

Sunday, June 24th - Saturday, June 30th, 2012
Case Western Reserve University, Cleveland, Ohio

First Name:      Last Name:

Street Address:

City: State: Zip: Country:

Phone Number:     Email:

Private Lessons
    Registration includes two, 1/2 hour private lessons during the week.
    NOTE: Voice students will receive one 1/2 hour lesson with Ellen Hargis and one 1/2 hour lesson with Carrie Henneman-Shaw.
    Please indicate your top four choices by choosing a number beside the faculty member's name (1 for first choice, 2 for second, etc.)

1
2
3
4
Bob Barto, Baroque lute
Sylvain Bergeron, Baroque and Renaissance lute
Eduardo Egüez, Baroque lute
Doug Freundlich, Renaissance lute
Grant Herreid, Renaissance lute
Chris Morrongiello, Renaissance lute
Nigel North, Baroque lute
Pat O'Brien, All lutes
Paul O'Dette, Renaissance lute
Phil Rukavina, Renaissance lute
Andy Rutherford, Renaissance lute
Crawford Young, Medieval & Renaissance lutes
Tuition:
    $490 if registered before June 15th. (Note: last day of pre-registration)
    $520 after June 15th, walk-in on-site only

Room and Board:

    NOTE: board includes breakfast and dinner only. Lunch is on your own.
    Food service starts with dinner on Sunday, 6/24 and ends with breakfast on Saturday, 6/30

     $535 single room
     Not Applicable (staying off-campus)

Name of preferred suite mate(s) (if any):

Will you bring a spouse/guest?     2 people in one room (one double bed )
    You will need to pay an additional $150 board for this person.
    A registering guest/spouse should fill out a separate registration for tuition only.

       Yes       No

Do you have any special needs that require special arrangements?

Will you be arriving a day early or staying an extra night?
    An extra night (no meals) will be charged at $60.00 per person per night.

Yes No
Saturday, June 23
Saturday, June 30

Do you wish to pay for on-campus parking? (one payment of $40 for the week)
      Yes       No

Which instruments (and at what pitch) will you be bringing?
Tuition: $490
Room & Board: 0
Guest/spouse board: 0
Additional night 6/23:
Additional night 6/30:
0
0
Parking: 0
Total:  
    
To complete your registration, send either a $100 (US) check or the full amount.
(Mail check to the address on the next screen after you click "Submit")
      $100 deposit
      Entire Amount (Subject to verification by Treasurer)

 

Please Note: Your registration is not complete until your check is received by Garald Farnham, 255 W. 98th, Apt. 5C, New York NY 10025. For payment questions, please contact Garald at gfminstrel@nyc.rr.com.

If you do not receive an email confirmation within 2 weeks of submitting this online form, please contact the Director (Phil Rukavina, info@philliprukavina.com). Thank you!

Print this page before submitting for your records.


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