Registration: Clarion Folk College

Please print this form and mail it to Kris Stiglitz, Clarion University, 840 Wood Street, Clarion, PA 16214 or fax to 814-393-2741.

Name:
Street Address:


City, State, Zip:

Telephone:
Email:
Instrument(s):


Registration Fee:

$120 by 3/15     $135 by 4/15    $150 after 4/15

Dorm Fee:
 $35 double     $70 single
Total Payment:
My Roommate:
Assign me a roommate:

male female   smoking non-smoking   night-owl early-riser
Credit Card Type:

Visa Mastercard Discover     (Or check payable to Clarion University)
Credit Card Number:    Expiration:
Signature: ___________________________________________________________

 

The registration fee includes all workshops and concerts plus two continental breakfasts. Refunds can be given only for cancellations before May 1, 2004. A limited number of partial scholarships is available in exchange for helping out during the weekend. Discounts are given to Clarion faculty, staff, and students. Please inquire. The dorm fee is for Friday and Saturday nights. Contact us if you’d like to stay on Sunday.