NORTHEAST HERITAGE MUSIC CAMP
ALT CAMP / IN PERSON Registration Form 2021
NAME: ______________________________________________________________
AGE: __________ PHONE: _______________________________________
EMAIL: ______________________________________________________________
ADDRESS:
STREET: _____________________________________________________________________________________
CITY: ____________________________________________________ STATE: _________ ZIP: _______________
At NHMC we are family. Our goal is to recreate the community feeling of our camp online by helping to support our faculty, nourishing our campers, and keeping our collective spirits alive. Online faculty-led workshops, virtual happy hour jams, and live-streamed faculty concerts along with who knows what else will be featured throughout the week.
Continue to check our website for NHMC updates.
ALT CAMP REGISTRATION FEE - $100
$100 will hold your place for In Person Camp and open the Alt Camp door to all online events
2021 registration fees are non-refundable.
If for some reason you choose not to participate in NHMC 2021 you may apply the $100 fee to NHMC 2022 in full or donate all or part of it to this year’s event.
Check Out (Indicate Amounts):
$ _100__ Tuition Fee
$ _______amount to be applied to your NHMC 2021 registration
$ _______donation amount
$ _______ Additional Donation to NHMC due to COVID-19 (Indicate amount)
$ _______ Voluntary Contribution to NHMC Scholarship Fund (Indicate amount)
$ _______ Total Amount
Do we have your permission to share your email address with fellow NHMC campers? Check one ___yes ____no
Do we have your permission to share camp photos/video for publicity purposes? Check one ___yes ____no
Signature ______________________________________________________________ Date _____________
If under the age of 18:
Parent / Legal Guardian Signature ________________________________________ Date_____________
Please make check payable to Northeast Heritage Music Camp for your total amount and mail it to:
Northeast Heritage Music Camp
c/o Todd Taska, 2923 Mines Road
Lowell, Vermont 05847
802.585.5894
Questions? please contact nhmcvt@gmail.com
Thank you for your support!
,
ALT CAMP / IN PERSON Registration Form 2021
NAME: ______________________________________________________________
AGE: __________ PHONE: _______________________________________
EMAIL: ______________________________________________________________
ADDRESS:
STREET: _____________________________________________________________________________________
CITY: ____________________________________________________ STATE: _________ ZIP: _______________
At NHMC we are family. Our goal is to recreate the community feeling of our camp online by helping to support our faculty, nourishing our campers, and keeping our collective spirits alive. Online faculty-led workshops, virtual happy hour jams, and live-streamed faculty concerts along with who knows what else will be featured throughout the week.
Continue to check our website for NHMC updates.
ALT CAMP REGISTRATION FEE - $100
$100 will hold your place for In Person Camp and open the Alt Camp door to all online events
2021 registration fees are non-refundable.
If for some reason you choose not to participate in NHMC 2021 you may apply the $100 fee to NHMC 2022 in full or donate all or part of it to this year’s event.
Check Out (Indicate Amounts):
$ _100__ Tuition Fee
$ _______amount to be applied to your NHMC 2021 registration
$ _______donation amount
$ _______ Additional Donation to NHMC due to COVID-19 (Indicate amount)
$ _______ Voluntary Contribution to NHMC Scholarship Fund (Indicate amount)
$ _______ Total Amount
Do we have your permission to share your email address with fellow NHMC campers? Check one ___yes ____no
Do we have your permission to share camp photos/video for publicity purposes? Check one ___yes ____no
Signature ______________________________________________________________ Date _____________
If under the age of 18:
Parent / Legal Guardian Signature ________________________________________ Date_____________
Please make check payable to Northeast Heritage Music Camp for your total amount and mail it to:
Northeast Heritage Music Camp
c/o Todd Taska, 2923 Mines Road
Lowell, Vermont 05847
802.585.5894
Questions? please contact nhmcvt@gmail.com
Thank you for your support!
,
checks are encouraged.
if using a credit card please be sure to include the above registration form.
if using a credit card please be sure to include the above registration form.
Printable Registration link here
nhmc_2021-alt_camp_in_person_registration_form-1.5.21.jpg
nhmc_2021-alt_camp_in_person_registration_form-1.5.21.jpg
