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Handbell Week at the Mound 2020
Registration Form, June 29 to July 2
Sinsinawa Mound Center, Sinsinawa, WI
Individual Registration
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone Number
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Email
Church/School Information
Church/School Name
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
Workshop Attendance
Please indicate your workshop attendance and how you heard about Handbell Week 2020.
Attendance
First Time Participant
Past Participant
Workshop Publicity
E-mail from Mark Bloedow/Midwest Music
E-mail from Friend
Church Handbell/Music DIrector
Online Web Site
Track 1 or Track 2
Each day includes two unique tracks with different music levels and selections.
Please choose either Track 1 or Track 2.
Please select
Track 1 (Level 2-3 Music)
Track 2 (Level 3-4 Music)
Track 1 (developing ringers/directors, level 2 and 3 music) and Track 2 (intermediate/advanced handbell performance choir experience, level 3 and 4 music).
Indicate Ringing Preferences
Please indicate your preference for ringing positions.
All positions will be assigned and confirmed in advance of the workshop. Every effort will be made to assign 1st and 2nd choice positions whenever possible.
1st Position Preference
2nd Position Preference
3rd Position Preference
No Position Preference, Enter NONE
List specific bells (for example: G4-A4) or a general range (for example: bass/middle/treble bells or C4 through C5). Please be as clear as possible.
Lodging at Sinsinawa Mound Center
Affordable onsite lodging, including three daily meals, at Sinsinawa Mound Center
Please choose one:
Yes, I am interested in making a room reservation at Sinsinawa Mound Center.
No, I will not need a room reservation.
The per day package cost for those staying onsite at Sinsinawa Mound Center is $60, inclusive of three daily meals.
By checking YES above, you will receive a reservation form and follow-up. There is no obligation to receive the information prior to making a reservation.
Special Guest Referral Program
Invite a guest to attend...if they attend the workshop, you both receive $10!*
*IMPORTANT: You and your guest must indicate in advance below your name as the person inviting them to attend. Good for first-time guests only. No limit on number of first-time guests eligible. One person can register multiple first-time guests. Checks given during week of the workshop. May not be used in advance to pay for registration fee. All participants must register, pay for, and attend the workshop to be eligible.
Your Name
Person You Referred
Or, Person Who Referred You
Instruments & Equipment Needed!
Malmark Handbells, Choirchimes, Padding, Mallets, Tables
Please indicate the octaves of Malmark handbells, choirchimes, foam padding in 3’ sections only, and mallets you would be willing to bring. If needed you will be contacted in advance of the workshop.
Handbells
Please select
2 Octaves
3 Octaves
4 Octaves
5 Octaves
Choirchimes
Please select
2 Octaves
3 Octaves
4 Octaves
5 Octaves
Bass Chimes
Mallets
Please select
For 3 Octaves
For 4 Octaves
For 5 Octaves
Foam Padding
Please select
6 Feet
12 Feet
18 Feet
24 Feet
30 Feet
36 Feet
More
Tables
Please select
6 Feet
12 Feet
18 Feet
24 Feet
30 Feet
36 Feet
More
Comments
Please include anything we need to know about your registartion or available equipment in the space below, thank you!
Additional Information
Workshop Fees, Discounts, Payment
Please visit www.maestromeb.com for complete details about the workshop.
Workshop Fee: $310 per person including workshop registration, four daily lunches, Thursday evening dinner, music packet, and snacks.
Early Bird Registration Discount: Register by April 15 ($25 discount) and May 15 ($20 discount)
First Time Participant Discount: Receive the Early Bird Discount through May 15, or a $10 discount after that date.
Payment in advance of the workshop is required to Midwest Music.
Cancellation/Refund Policy
Refunds for cancellations received by June 1 will be made minus a $25. Refunds for cancellations received after June 1, but at least 7 days prior to the start date, will be made minus $50. Cancellation refunds cannot be made with less than a 7 day notice (June 22) prior to the workshop start date.
Questions
For complete information and workshop updates, please visit: www.maestromeb.com or contact Mark Bloedow, musicdirectormeb@gmail.com.
Please remember to click below to submit your form...we look forward to seeing you in June!
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