Adirondack Quilt Camp
2012
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Registration Information

Registration Per Person (Please print)

Name______________________________

Address_____________________________

 City_________________________St_____

Zip______________________

E-mail address________________________

 Phone (day)__________________________

(night)______________________________

Please put course number in order of preference under the date.  We will try to accommodate everyone’s requests in the order of completed registration—including paid tuition.

                 Mon 6-25     Tues 6-26      Wed 6-27

                 Course #      Course #      Course #

1st choice   _______     _______       ________

List Back up Classes in case the class you want is full

Monday Back Up Class       ________

Tuesday Back Up Class       _______

Wednesday Back Up Class  ________
 

Tuition June 25,26,27                   $175 
AFTER June 1                                 ($200)                ________

Tuition per day $75
AFTER June 1 ($85)                                                  ________

Yes, I am attending the Welcome Reception on Sunday June 24th.  (free to registered students)          ________                     
I am bringing guests to the Quilt Camp Reception ($15 per person)      Number of guests: _________
x $15= _________

Extra Materials Fees Payable with tuition

Carr   (Class # 2 -$30)                     _________
Woodworth (Class #7 -$30) 
         _________
Woodworth (Class #14 -$30)       _________
Woodworth (Class #19 -$15)        _________  
Kids Class (Class # 10 - $110)  
      _________

TOTAL DUE                                      ____________

 Payable by CHECK OR MONEY ORDER ONLY to

TOWN OF LONG LAKE 
c/o Adirondack Quilt Camp
PO Box 496
Long Lake, NY 12847

Sorry no credit cards accepted. 
Class Assignments will be available in June. 
We will let you know as soon as possible. 

Thank you so much for registering! 

Phone: 518-624-3077
Fax: 518-624-2010

www.adirondackquiltcamp.com or
www.mylonglake.com

All ADULT CLASS MATERIALS are additional fee - please pay with your tuition or you will not be fully registered in the class.  

All materials for Quilt Camp and are not included in registration fees except for the Children's Class.

CANCELLATION FEE OF $25 WILL BE CHARGED IN THE EVENT REFUND IS REQUESTED.

Full payment required at time of registration.

Registration after June 1 for 3 day workshop increases to $200 and daily rate increases to $85 so Register Early!


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