Registration Form
Please fill out everything!
Email:
Name:
Street Address:
City/State:


  ZIP/PC:
Sex: Male
Female 		Phone Number:
T-Shirt Size:  Age: 

You are a:    Piper    Drummer

Skill Level:    Beginner    Intermediate    Advanced

Years on Chanter:     Pipes:     Drums:  

Select One:    Audition Tape Enclosed
Audition Tape to Follow Face-to-Face Audition July 31st


Please make my reservation as indicated below:
One Week Tuition $400
One Week Tuition plus Room and Board $650
One Week Tuition plus (Single) Room and Board $746
One Week Room and Board $250 (Family member/spouse)


Additional Comments
Applications will be processed (and space allocations made), only upon receipt of full payment.
Please make checks payable to the
North American Piobaireachd Society
or
Coeur d'Alene Summer School of Piping and Drumming

Cheques to be sent to:
CSSPD
c/o Danny Hale
3369 Eastlake Dr
West Richland, WA. 99353 USA