Flute Haven 2019
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.
 
Partners We are happy to invite partners who wish to join participants of Flute Haven to join us for the week. Partners are invited to the evening sessions as well as all off-site activities. All you need to do is fill out a separate Accomodations and Dining registration form and indicate double occupancy (partners are not charged a program fee!) See Partners at Flute Haven for more information.
 
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 8–13) $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.