Augusta Heritage Center
2008 Registration & Housing Form

 
NOTE:  If you would prefer to pay by check or money order, you may print a copy of this form; fill it out completely, printing clearly or typing; and mail it with your payment (if you choose to make a tax-deductible contribution to Augusta, it is important that you make out a SEPARATE check for your gift) to Augusta Heritage Center, Davis & Elkins College, 100 Campus Drive, Elkins, WV 26241.  Checks or money orders may be made payable to Augusta Heritage Center.
 

A red asterisk * indicates required information.

  

2008 Tuition Guide

Fly Fishing Workshop $100

Spring Dulcimer Week

 $420
Appalachian Adventure
        (Weeks 2 and 4)		 $330
Summer Week 1 $420
Summer Week 2 $420
Summer Week 3:  
  Irish/Celtic Week $440
  Wk 3 Crafts/Folklore $420
Summer Week 4 $420
Summer Week 5 $430
Folk Arts for Kids
         (Weeks 1, 3, & 5)		 $350
Mini-Classes $45
October Old-Time Week $420

As of 2008, all registrations must include
full tuition payment.


*Last Name
*First Name
MI
*First Name for Badge
Please check this box if your address has changed since the last time you registered. Thank you for helping us keep our data current.


 *Address

*City		 *
*Zip
Country  (if not US)

*Home Phone
Daytime Phone
 (if different)		    

*Email		        
 *Birthdate (mm/dd/yy)                    Chaperone Name
       Note:  Those under 18 at time of workshop require a chaperone.

*Emergency Contact Name
*Emergency Contact Phone
         

You may sign up for ONLY one (1) full-time class and/or mini-class per week!!
 
Week Name of Class or Theme Week Instructor (if known) Level Subtotal

All tuition must be paid in full at the time of registration

Reserve your on-campus housing with a $25 (please, do not send more) non-refundable, non-transferable administrative fee per person per each week.

Total
Housing


(Balance of housing fee will be due upon arrival at Sunday check-in.)

+

If you would like to make a contribution to further the mission of the Augusta Heritage Center, please select one of the following:

Total
Contribution

Augusta Youth Scholarship      Augusta Annual Fund       Augusta Endowment
+

Please list a group discount name: 

Total
 Discount

Select one:  $50 (per person - requires 4-6 registrants)
                    $70 (per person - requires 7 or more registrants)
 Only limited number of group discounts are available. Register early.
-

 

* Total
Payment
=

       
Roommate request:

Credit card information:
(Sorry, we cannot accept bank debit cards for payment.)
No preference of roommate *Name on
  Credit Card:      
Non-smoker Smoker *Billing Address: 
Early riser Night owl *Credit Card Number:    -   -   -  
Private room preferred, if available

*Expiration Date:             

*3 digit V-code (on back):    
(What is a V-code?)
         
* I have read and accept Augusta's cancellation and refund policy.  If user does not agree to the charges,
cancellations, and refund policies of the Augusta Heritage Center, you may terminate this transaction at this time
and leave the registration page.