Flute Haven 2018
Hosted by Expressive Therapy Concepts
 
 
Registration Policies
Registrar: Vera Shanov
Phone: 203-454-1479
Cell: 203-644-4596
Fax: 203-222-0895
Email: vera@shanov.com
6 Fieldcrest Road
Westport, CT 06880

Secure Registration Form
This registration form is protected by Secure Socket Layer (SSL) strong encryption.
All information entered here is private and secure.
 1 » Registration Info:    2 » Billing Info:
         (if different from “Registration Info”)

First Name

Last Name

Address

City or town

State or province

Zip or postal code

Country

United States

Home Phone

Cell Phone

E-mail address

First Name

Last Name

Address

City or town

State or province

Zip or postal code

Country

United States

Billing Phone

E-mail address

 3 » Details:
Check which items of information you wish to appear on the
printed contact list (provided to other Flute Haven participants):
Your city and state Your home phone
Your Email address Your cell phone
 
Name as you would like it on your name tag:
Name as you would like it on your certificate:
How did you hear about this event?

I would like to focus at Flute Haven on:
     No particular focus — Soak it all in
     Leadership skills — leading a flute circle
     Musicianship — improving my flute playing skills
     Performing skills
     Other — please describe in the “specific goals” area below

I plan to offer items for sale in the vendor area.
 
Please describe any specific goals you have for this workshop:
        

 

 4 » Programs:
This event is hosted by Expressive Therapy Concepts, a not-for-profit organization.
Your contributions may be tax-deductible — please consult your tax advisor.

 

Program See the next two sections for various reductions in these program fees,
including financial assistance for low-income participants.

Leadership and Musicianship Program (Sept 9–14) $645 ($695 after June 15)
$645.00
Discounts Check if you have been a participant in a prior Flute Haven event (10% discount). ---
Financial
Assistance
If you have been granted a scholarship, enter your scholarship code:
 
FA1 Assistance. I am requesting financial assistance based on financial need.
       I certify that I meet the criteria for FA1 Assistance as described on the web page
       Financial Assistance for Native Flute Schools.
 
FA2 Assistance. I am requesting financial assistance based on student or benefit status and financial need.
       I certify that I meet the criteria for FA2 Assistance as described on the web page
       Financial Assistance for Native Flute Schools.
---
Adjustment For administrative use only:
Adjustment amount:
Adjustment details:
---
Total Fee $645.00
Payment
Options
Pay in full at time of registration
Pay 50% now, 25% on July 1, and 25% on August 1.
Now: $645.00
 5 » Payment:
(select one)
Credit card payments are processed through PayPal.
You can use your credit card even if you do not have a PayPal account.
Payment Choices
If you are paying by check or money order,
please make them payable to “Expressive Therapy Concepts
and send to Vera Shanov, 6 Fieldcrest Road, Westport, CT 06880.
If you prefer to register by telephone, contact Vera Shanov at 203-454-1479 (cell 203-644-4596).

 

Notes:
  • Accomodations and meals are not included with your Flute Haven registration. After completing your registration on this form, you may sign up for accomodations and meals by a link provided on the Flute Haven web site.
  • Please bring whatever flutes and any other musical instruments you wish to use during the workshops!
  • Please see http://www.FluteHaven.com/register.htm for the complete cancellation policy.
  • If you have special dietary requests, please visit http://www.FluteHaven.com/register.htm to download the special diet request form. Please mail this form to Vera Shanov, 6 Fieldcrest Road, Westport, CT 06880.