2017 Dulcimer Chautauqua On The Wabash  

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2017 Dulcimer Chautauqua On The Wabash Registration Form (Only one name per registration form please!)

Name:  _____________________________________________________________________________________________

Address:  ___________________________________________________________________________________________

City:  ___________________________________  State:  ___________________________________  Zip:  ____________

Phone:  (        ) _________________________                                                      Cell:  (        ) ________________________

Email:  _____________________________________________________________________________________________

Full Participant Package

______  $100.00 Package includes ALL events Thursday - Sunday. AM & PM Workshops/classes, seminars, concerts, hymn sing, & jam sessions.

*No meals are included in the Full Participant or Non-Participant packages!

*If choosing this package please fill out the Workshop/Class Enrollment form indicating first & second choices for each slot.

Non-Participant Package

______  $60.00 Package includes all of the above except the AM & PM workshops/classes.


______  Extra Concert Tickets  ______ Friday  ______ Saturday Indicate number of tickets for each night. $15.00 each (18 & Under FREE)

______  I would like to volunteer to help at the Chautauqua. Please contact me about areas to help.

______  I need a loaner dulcimer. (No charge)

______  I will need ______ lunch tickets @ $10.00 each for the optional Friday lunch catered by the Hornville Tavern

______ I plan on attending the Soup & Sandwich Supper in the Rapp Annex Friday night.

*Please indicate number attending ______

______  I plan on attending the Spaghetti Supper at the Baptist Church on Saturday night. *Please indicate number attending so that the church can plan meals accordingly ______

*Room & Meal Reservations - New Harmony Inn  1-800-782-8605

*Camping - Harmonie State Park (812) 682-4821  Murphy Park (812) 682-4868 (During Business Hours Only)

*All Other questions or concerns - Rick Huffman (812) 205-6781


Make checks payable to: Dulcimer Chautauqua On The Wabash, Inc.

Mail completed form(s) & check to:

Rick Huffman

1 Parkview Dr.

New Harmony, In. 47631

NO REFUNDS AFTER OCTOBER 10th, 2017