Registration fee due in full by the following dates:
Chautauqua Institution - July 1, 2019
Washington College Summer Institute – June 21, 2019
(Please enter your phone numbers in the following format xxx-xxx-xxxx)
I would like to register for the following camp(s):
Please complete a new form for each participant so that we can gather information for all attending. If you have questions, please call our office at (301) 261-5747.
Please make checks payable to Encore Creativity for Older Adults.
Checks can be mailed to:
Encore Creativity for Older Adults
147 Old Solomons Island Road, Suite 211
(Blue Encore concert polo shirt for Chautauqua and Washington College. Black Encore ROCKS concert polo shirt for Enore ROCKS camp).
Please list any special needs you may have in the Additional Comments section at the bottom of the form. (Accessibility issues, Allergies, Dietary Restrictions, etc).
Full payment is due by the registration deadline. Detailed daily schedule and program information, as well as sheet music and CD, will be sent to you in advance of arrival. Our cancellation/refund policy is available to view on our website. For additional information, email Info@encorecreativity.org
By registering for this program, I grant to Encore Creativity Corporation (Encore), its representatives and employees the right to take photographs of me or create video content that includes me in connection with Encore concerts and other program activities. I authorize Encore to copyright, use and publish the same in print and/or electronically. I agree that Encore may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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