The Noyes School of Rhythm - Registration Form

Noyes School of Rhythm Registration Form

To assure your place and week of choice, please fill in this form (before June 15th*) and mail in your $50 deposit made payable to Shepherd's Nine to

Carol Ribner
1 Toms Point Lane
Apt 2F
Port Washington, NY 11050

We are a non-profit organization and welcome guests of all nationalities irrespective of race, creed, or color.

Name: (required)

Address:

City: State: Zip:

Phone:

Email: (required)

I will be at Noyes Rhythm from
(mm/dd/yy) to (mm/dd/yy)

Additional Attendance Dates:

I would like a Single Tent
or) I would like to share a tent

I would like to share a tent with

Linen:
I will bring my own I'd like to rent linen

I have applied for an Onion Scholarship:

I will need transportation from:

Middletown Bus Station
Meridan Train Station
Bradley Airport

Please call ahead to confirm transportation.
No transportation available on Wednesdays.

We provide a healthful diet. Please let us know if you have any special dietary concerns.

*after June 15th mail directly to The Noyes School of Rhythm P.O. Box 70, Portland, CT 06480

If you would rather print and mail in your Reservation Form, click HERE for a printable version.

2006 Site Re-Design and Administration by Gwynwyffar