REGISTRATION FORM -
Fiddler's Dream Music & Dance Camp
Kingston, OK (Lake Texoma),
Thu Dec 31, 2009 - Sun Jan 3, 2010
Name(s)________________________________________________________________
Name(s)________________________________________________________________
Street_________________________________________________________________
City_____________________________ State___ Zip_______ Ph# (___)___-____
E-mail___________________________________
Please do NOT list me in attendees directory. ___
Please provide the names and ages of all children registering with you.
_______________________________________________________________________
Dance, Music, or Other Session/Workshop: (what you'd like to OFFER
to lead OR what you'd like to see happen, and a suggested leader)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Instrument(s) I will bring and play:
_______________________________________________________________________
I can play as a member of these Band(s):
_______________________________________________________________________
I'll volunteer to help: set up (need 6 or so) ____
refilling drink jugs ____ final clean up ____
running sound for 1 session ___ 2 sessions ___
NO T-SHIRT THIS YEAR.
Accommodations: Put the # of campers in the appropriate blanks.
I prefer to stay off-site ______
Cabins: Women's: ______ Men's: ______ Couples: ______
Family(with kids): ______ I SNORE ____
I am single and would stay in a couples cabin ____ or family cabin ____
I want to stay in the same cabin as ___________________________________
Adult Child 1-7
Cabin and Meals $140 x ___ $70 x ___ = $___
RV/tent and Meals $110 x ___ $55 x ___ = $___
Meals Only $100 x ___ $50 x ___ = $___
Cabin Only $100 x ___ $50 x ___ = $___
No Cabin or Meals $100 x ___ $50 x ___ = $___
NTTDS Membership $ 12/single, $18/family = $___
After Dec 20 $ 10 x ___ = $___
GRAND TOTAL: _______ people, $________
Make checks payable to: NTTDS and mail to
Mimi Rogers, 3415 Manana Dr., Dallas, TX, 75220
Contact: e-mail:
or cell phone 214-403-2734
Use back, if necessary for any questions.
NTTDS Home
Weekend Summary
Map and Directions
Flier and Registration Form (227 KB PDF file)
Download suggested tunes (189 KB PDF file)