ferrum college

2018 Crooked Road Dulcimer Festival

TO REGISTER ONLINE:

1. Fill out all registration information below.

2. On Page 2 of this registration form, check the boxes beside the workshops you plan to attend (one in each time slot).

3. Click SUBMIT at the bottom of the form to send it to the BRI&M. You will receive an email confirming your registration within five working days.

4. You can pay by credit card (online or by phone) or pay by mail with a check or money order.

5. To pay by credit card, either call us at the Blue Ridge Institute & Museum with your credit card information at 540-365-4412 between 9 a.m. and 4 p.m., Monday through Friday; or enter your credit card information in the payment section below.

6. To pay by check, use the CRDF mailing address below.

TO REGISTER BY MAIL:

1. Print out and fill in a hard copy of Part 1 (Your Information) of this registration form.

2. On the CRDF website go to the the Workshop Schedule page and click the link to download a hard copy of the workshop schedule. Circle the classes you wish to participate in. (Circle only one workshop in each time slot.)

3. Mail those completed hard copies with a check for payment made out to:

The Crooked Road Dulcimer Festival
Blue Ridge Institute & Museum
P. O. Box 1000
Ferrum, VA 24088

1

Part One: Your Information

2

Part Two: Workshop Registration

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Daytime Phone Number * ### - ### - ####
Cell Phone Number: If You Prefer Not To Include Your Cell Phone Number, Just Enter 777-777-5555. * ### - ### - ####
In the event we need to contact you quickly during the festival, having your cell phone number will save valuable time.
Email *
Whom Should We Contact in Case of an Emergency? * First Last
Emergency Contact Phone Number * ### - ### - ####
Note Any Special Dietary Needs You Have That We Need To Be Aware Of:
Check Your Participant Status: *
I am registering as a workshop participant. I am registering as a non-participant.
Enter the Name of Your Roommate. If You Are Booking a Single Occupancy Room, Enter the Word "None" in Both Fields: * First Last
Both people staying in a double-occupancy room need to complete separate festival registration forms. Be sure your roommate lists you as the roommate on his/her registration form.)
Lodging and Meals

Festival-goers lodge in Dyer Hall and Clark Hall, Ferrum College’s newest residence/conference facilities. The buildings are side by side. Each double-occupancy room is furnished with two single (college-size) beds, chests of drawers, and tables. Each room also has its own bathroom and climate control system. (Private rooms are available. See prices below.) Dyer and Clark Halls feature common living space on every floor and a kitchen on one floor. Elevator equipped and Wi-Fi connected, they are fully handicap accessible. All buildings on the Ferrum campus are non-smoking facilities. Linens are included in the lodging package. (See the CRDF website for more information on linens and things you might want to bring with you.) An abundance of free parking is adjacent to both buildings. Meals are served in the Ferrum College dining facilities, a short walk from Dyer and Clark Halls.

2018 Lodging Rates:

• DOUBLE OCCUPANCY ROOM PLUS 8 MEALS: $75.00 per person per night. TOTAL FOR EACH PERSON IN THE ROOM FOR THE ENTIRE FESTIVAL, THURSDAY TO SUNDAY = $225.00

• SINGLE OCCUPANCY PRIVATE ROOM PLUS 8 MEALS: $85.00 per night. TOTAL FOR THE ENTIRE FESTIVAL, THURSDAY TO SUNDAY = $255.00

• COMMUTER MEAL PACKAGE (8 MEALS, NO HOUSING)--TOTAL FOR THE ENTIRE FESTIVAL, THURSDAY TO SUNDAY = $80

• Children’s rates are available upon request.
Choose Your Housing and Meals Fee Plan: *
$225 (Per Person in Shared Double Room + Meals) $255 (One Person in Single Private Room + Meals) $80 (8 Commuter Meals--No Housing) $0 (No Meals or Housing)
Choose Your Workshop Participant Fee Rate: *
$100 (on or before May 1) $110 (after May 1) $0 (Non-participant)

Note: The Participant Fee is nonrefundable after May 10th.
ADD YOUR WORKSHOP PARTICIPANT FEE AND YOUR HOUSING/MEALS FEE TOGETHER AND ENTER YOUR TOTAL COST: * $ Dollars . Cents
HOW WOULD YOU LIKE TO PAY? SEE DETAILS IN THE SIDEBAR.

TYPE OF CARD:

You can make payment in one of three ways:
(OPTION 1) CHECK or MONEY ORDER--Simply mail it to us.
(OPTION 2) CREDIT CARD--Enter your credit card information for us to charge through our system. NOTE: IF YOU CHOOSE THIS OPTION, THE AUTOMATIC EMAIL SENT TO YOU CONFIRMING YOUR FESTIVAL REGISTRATION WILL HAVE YOUR CREDIT CARD INFORMATION IN IT. IF YOU ARE CONCERNED ABOUT HAVING YOUR CREDIT CARD INFORMATION IN AN EMAIL, USE PAYMENT OPTION 3 BELOW.
(OPTION 3) CREDIT CARD--Submit your registration form without entering your credit card information. Then call the Blue Ridge Institute & Museum (540-365-4412 between 9 a.m. and 4 p.m., Monday through Friday). We will process your credit card payment over the phone.
NAME AS IT APPREARS ON CREDIT CARD:
CREDIT CARD NUMBER:
THREE DIGIT SECURITY CODE:
Maximum Allowed: 3 digits. Currently Used: 0 digits.
EXPIRATION DATE
Maximum Allowed: 7 characters. Currently Used: 0 characters.
1 / 2
Do Not Fill This Out