Application Form

Applications must be postmarked by June 17th

Name _____________________________________________________________

Address ___________________________________________________________

City ______________________________________________________________

State __________________________________ Zip Code ___________________________

E-mail____________________________________ Home Phone ________________________

I will play in the _____beginning _____intermediate _____advanced etude class.

I will play in the _____beginning _____intermediate _____advanced vibrato class.

I will be bringing _____ an alto _____ a bass _____ both.

Housing Options

______ Double dorm room (two twin beds), community bathroom, tuition, all meals $510
(couples, this is an option for you - add $295 for meals and housing for second person)

______ Private dorm room (one twin bed), community bathroom, tuition, all meals $705

______ Private room in 4 bedroom/2 bath apt., share bath with one person, tuition, all meals $760.

______ Private room in one bedroom apt., private bath, tuition, all meals $790.
(Couples, this is an option for you - add $575 for meals and housing for second person.)

______ I will stay elsewhere and attend the entire class. $215. Meals can be purchased separately.

______ I will attend Friday, Saturday or 1/2 day Sunday (circle which day). $80 per day tuition.
$50 for 1/2 day (up to five hours)

______ I would like a private lesson $70

__________TOTAL make check payable to Chris Potter

Send to 2985 18th St. Boulder, CO 80304
Payment is due in full postmarked by June 17th
You will be mailed more information after June 28th