Registration from Wait List | Maine Fiddle Camp

Use this form to register and pay by credit card or PayPal. Maine Fiddle Camp is operated by The Maine Traditional Music Association, the charge will appear on your credit card statement as “PAYPAL *MAINETRADIT”If you want to pay by check, click HERE.

Instructions

Campers will only be registered after MFC receives a $50 non-refundable deposit or full payment. Full payment must be received by May 25, 2019 for June sessions and July 16, 2019 for August sessions to qualify for the discounted fee.

Registrations to all camps include tuition, meals, music downloads, bunk/tent site, and a $50 non-refundable registration fee. Balance of fee not refundable for cancellations after May 25 for June sessions, or July 16 for August sessions.

Only one person per registration form.

Camp Session: *

August Week I, August 4-9, 2019, $500

August Week I, August 4-9, 2019, $450, Second Family Member

August Week II, August 11-16, 2019, $500

August Week II, August 11-16, 2019, $450, Second Family Member

Additional Fees:

Youths attending without a parent or guardian $25

Donation:

Maine Fiddle Camp is a 501(c)(3) non-profit educational organization. All donations are tax-deductible to the full extent allowed by law. Donations to Maine Fiddle Camp are used to provide scholarships to in-need campers. Your generosity is greatly appreciated!

Name: *

Address: *

Country

City

State

Zip code

Phone: *

Email: *

Email Permission:

I give my permission for my email address to be added to mailing list for MFC news.

Contact Permission:

I give my permission for my contact information to be shared with other campers

Age:

Sex: *

Male

Female

Instrument:

Experience *

Please rate yourself

Beginning Beginner - learning the basics, tuning, notes

Advanced Beginner -can play simple tunes

Intermediate -can do OK, struggling, but experienced

Advanced Intermediate -can play easy tunes

Advanced -can play tunes at dance speed

Advanced Advanced -ready for any challenge

Housing *

All youths younger than 18 must honor the 11:00 pm curfew.

Shared 10-bed Cabin Bunk (Bring bedding. Special needs campers are given priority bottom bunks.)

Bring Tent (families and adults only)

Bring RV (families and adults only)

Will not stay overnight

Food Allergies:

Emergency Medical Information/Consent Form

Although camp-related injuries are rare, they do occur on occasion and you and/or your child may have to be taken to a medical center for treatment. Your agreement, which constitutes consent for medical treatment for you or your child in case of unexpected illness or injury, will ensure that you or your child will get prompt medical attention should we not be able to contact you personally. Your agreement also waives any responsibility for personal injury or illness from Camp NEOFA or the Maine Fiddle Camp.

Medical Consent Agreement: *

I agree

Swim and Transportation Permission

Your agreement below also gives permission for this child/camper to swim a places with lifeguards present and to ride the MFC sponsored bus or vehicle to Lake St. George State Park or to Stevens Pond. Every precaution is taken to eliminate any injury to our campers. Your agreement hereby waives, releases and hold harmless from any liability for damages or claims for personal property damages which may arise in connection with riding in the camp bus or other vehicle, or swimming at the NEOFA campground, Lake St. George State Park, or Stevens Pond, against Maine Fiddle Camp and the NEOFA organization and all of their officers, agents and employees.

Swim and Transportation Permission: *

I agree

Date of Birth:

Allergies:

Medications:

Family Physician:

Physician's Phone:

Date of last tetanus shot:

Emergency Contact/Relationship: *

Emergency Contact Phone Number: *

Comments:

Please press the Register button only once, you will be transferred to PayPal for payment.