REGISTRATION FORM  
 
Please print this page and then fill it out.  If you prefer to make entries using your computer keyboard,  click here for a forms-based version. 

Applying to Play Week(s)
 East, June 19-26  West, July 3-10  VA, July 17-24

Name _______________________________________________________________

Address _____________________________________________________________

City __________________________ State __________ Zip __________________

Phone (h) __________________________ (w) _____________________________

Mobile ____________________________Email______________________________

Special needs ________________________________________________________

Room Preference  Single Commuter  Coming with guest/spouse

Guest name _________________________________________________________

Emergency contact (name, relation, phone, etc)
_______________________________________________________

Instrument: First _____________________ Second ______________________
Technical level:  Excellent  Very good  Good  Fair
Group experience:  Much  Some  Very little  None
Upon receipt of your application, a more detailed questionnaire
regarding your playing level will be mailed for you to fill out.

Enclosed:
$200 deposit per workshop or Paid in Full Amount $____________

Mail this form with a check made payable to
"Princeton Chamber Music Play Week" to:

Princeton Chamber Music Play Week
924 Riverside Avenue
Trenton, NJ 08618