OLDE CAPE COD RUG SCHOOL
November 3-5., 2023
REGISTRATION FORM
PLEASE PRINT
NAME: ___________________________________________________________________
ADDRESS:__________________________________________________________________
CITY/STATE/ZIP CODE: _____________________________________________________
TELEPHONE: ___________________________EMAIL:______________________________
HOOKING EXPERIENCE
Novice:_________ Beginner:_________ Intermediate: ________ Advanced: ___________
1st Choice Teacher: ___________________________________________________________
2nd Choice Teacher: ___________________________________________________________
Emergency Contact: ___________________________________________________________
Food llergies/Intolerances______________________________________________________
WE TRY TO TAKE ALL NECESSARY STEPS TO PROVIDE ALTERNATIVE CHOICES
IF NEEDED
Do You have a roommate? Y____N___ Would you like us to suggest one? _________
___________________________________________________________________________________
SIGNATURE DATE
Please make check payable to:
OLDE CAPE COD RUG SCHOOL
Mail check with registration form to:
Norma McElhenny, Director
31 West Trevor Hill
Plymouth, MA 02360
PLEASE PUT NAME OF TEACHER IN MEMO LINE ON CHECK!