2012 Registration Form
You may fill this out online and then print it out.

Applying to PW(s):

East, June 17-24

West, July 1-8

VA, July 15-22

Name

Address

Emergency contact

Room Preference

Single

Commuter Coming with guest/spouse

Guest name

Special needs

Instrument(s)

(first)

(second)

Attending with pre-formed group, list other members below:

Technical level

Excellent Very good Good Fair

Experience

Much Some Very little None

A more detailed questionnaire regarding your playing level will be mailed to 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