The Noyes School of Rhythm

Registration Form for Noyes Family Weeks- Summer 2006

Click HERE for a printable form if you'd rather not apply online

Name(s) of Accompanying Adult(s):

Relationship to Child:

Would you be willing to share cabin accommodations with another family?

Yes No

Preferred Family for Sharing:

Names of Children:

Birthday: Age: Sex:

Do any of your registered children require special consideration or attention due to a condition presently managed by a doctor? Please specify:

Please Check Preferred Week:

July 2- July 8

July 9- July 15

Family Address:

Street:

City: State: Zip Code:

Telephone:

Email*:
*required for online submission

A deposit of $100 should be mailed after submitting this registration form. Balance of payment is due on June 15 or on arrival at camp. Please make checks payable to Noyes Family Weeks, c/o Patricia Guliani, 10 Farm Lane, Portland. CT, 06480

Guests will be asked to sign waivers releasing Noyes Family Camp from all liabilities. Guests must take full responsibility for their own safety within buildings on camp property and at the waterfront. Noyes Children’s Weeks are an activity of the Noyes School of Rhythm Foundation, Inc. held at 207 Penfield Hill Rd, Portland, Ct 06480. We welcome people regardless of race, creed or natinal origin.

2006 Site Re-Design and Administration by Gwynwyffar