NOTE: Registration will close on Friday, June 4. Registration form with deposit ($150 with housing, $100 without) must be received by that date. The balance will be due on or before Friday, July 9 and will be billed.

Refund Policy: Any cancellation received prior to June 4 will result in a full and complete refund. If a cancellation is made between June 5 and July 9, payment is refundable minus the $25 registration fee. After July 9, payment is refundable minus the $25 registration fee provided that there is a waiting list and a substitute participant can be found. The refund policy of the Oak Leaf Inn is that deposits are refundable less a $10 cancellation fee if a reservation is cancelled at least 10 days prior to the reservation date. If a last-minute cancellation is necessary, and the inn is able to rent the room, deposits will be refunded less a $10 cancellation fee. In the event that the festival is cancelled, participants are entitled to a full and complete refund of all monies paid.

 

Name ______________________________________

Address ______________________________________

Phone ______________________________________

Fax ______________________________________

Email ______________________________________

Website ______________________________________

 
Tuition discounts of $75 are offered to all alumni of the two previous theremin workshops ($325 instead of $400).

Are you an alumnus/a of Portland '97 or Asheville '98? Yes___ No___

All participants are urged to bring their own instruments and amplifiers. A few loaner instruments will be available, and amps can be rented locally.

Do you own a theremin?  Yes___ No___

If so, what kind(s)?

  ______________________________________________

 
Will you bring an amplifier?  Yes___ No___

 
When did you first begin playing the theremin?

  ______________________________________________

 
Are you a right- or left-handed thereminist?
  Right___  Left___  Don't know___

 
How would you classify your proficiency level?
  Beginner___  Intermediate___  Advanced___

 
What is your musical background?

  ______________________________________________

  ______________________________________________

  ______________________________________________

Housing is available at the newly-renovated and historic Oak Leaf Inn located in the heart of Portland's downtown arts district. Blocks of rooms on the fourth and fifth floors have been reserved for the festival. Private rooms, shared rooms, private baths and shared baths are available, to meet all budget needs.

Do you require housing? Yes___ No___

If so, please indicate your preferred housing arrangement by numbering the following options in order of preference from 1 to 4 (1 = most preferred; 4 = least preferred):

shared room with bath ($325) ____

private room with hallway bath ($325) ____

half-suite with bath ($390) ____

private room with bath ($390) ____

 
Choice of roommate?

  ______________________________________________

 
Are you a smoker or a non-smoker?
  Smoker___  Non-smoker___

You may pay by credit card (Visa or Mastercard) or by check in US dollars (payable to New Music Alliance)

Tuition Deposit ($75) ______________

Housing deposit ($50) ______________

Registration fee ($25) ______________

Total payment ______________

The balance of the tuition and housing fee will be billed at a later date.

 
For credit card payment:
  Visa___  Mastercard___

Card number ________ ________ ________ ________ 

Expires ____ /____

Signature ______________________________________