2022 Dulcimer Chautauqua On The Wabash Registration Form October 13th - 16th, 2022 (Only one name per registration form please!)
Name: _____________________________________________________________________________________________
Address: ___________________________________________________________________________________________
City: ___________________________________ State: ___________________________________ Zip: ____________
Phone: ( ) _________________________ Cell: ( ) ________________________
Email: _____________________________________________________________________________________________
Full Participant Package
______ $100.00 Package includes ALL events Thursday - Sunday. AM & PM Workshops/classes, seminars, concerts, hymn sing, & jam sessions.
*No meals are included in the Full Participant or Non-Participant packages!
*If choosing this package please fill out the Workshop/Class Enrollment form indicating first & second choices for each slot.
Non-Participant Package
______ $50.00 Package includes all of the above except the AM & PM workshops/classes.
______ Extra Concert Tickets ______ Friday ______ Saturday Indicate number of tickets for each night. $15.00 each (18 & Under FREE)
______ I would like to volunteer to help at the Chautauqua. Please contact me about areas to help.
______ I need a loaner dulcimer. (No charge)
______ I will need ______ lunch tickets @ $12.00 each for the optional Friday lunch
______ I will need ______ tickets for the Saturday catered supper in the Rapp Annex @ $12.00 each.
Make checks payable to: Dulcimer Chautauqua On The Wabash
Mail completed form(s) & check to:
Rick Huffman
1 Parkview Dr.
New Harmony, In. 47631
NO REFUNDS AFTER OCTOBER 3rd, 2022