Registration Form

Registration Form, Gaelic Song and Language Week, Grandfather Mountain

To register, print this form, fill it out, and mail with payment as described below 

Information about you

Ainm (Name)              _______________________________

Seòladh  (Address)    _______________________________

                                  _______________________________

Fòn (Phone)               _______________________________

Post-d (email)            _______________________________ (important)

Ainm Gàidhlig (Gaelic name) __________________________ (optional)

Language level          _______________________________

ACGA Policy: Students under 18 are welcome. However, if they intend to stay overnight, a parent, or parent-appointed guardian, must accompany them. Guardians must submit a signed parental agreement to that effect. Please request form if under 18.

Fees and Payment

   PR: private room, tuition, meals
   DS: day student, tuition only, no meals
   FM: family member not attending classes (lodging, meals, but no tuition)

   2009 ACGA Members        Non-Members
   [  ] PR $425                        [  ] PR $450 (includes 2009 trial membership)
   [  ] DS $230                        [  ] DS $255 (includes 2009 trial membership)
                                              [  ] FM $260

Your fee for room, board & tuition   $ ____________ (from checked line above
                                                                                     (if paying in Canadian dollars, multiply above fee by 1.2)

Donation to ACGA                            $ ____________ (optional, tax deductible in U.S.)

Early registration bonus                 $ ____________ (deduct $20 if all fees paid by May 15)

Total fees                                        $ ____________ (add the lines above)

Total enclosed                                $ ____________ (at least 50% must accompany this registration)

Balance due                                    $ ____________ (payable at start of event or before)

There is a $25 non-refundable cancellation fee.

Other event information

Will you need to rent linens?        No_____ Yes_____ (those who drive are encouraged to bring their own.)

If you check "Yes", $25.00 will be due upon arrival at college. Do not add to fees above.

Assisted access required?            No_____  Yes_____

Van service from Charlotte Airport to Banner Elk, NC can be obtained by contacting:

Air Haven Limo
dana@airhavenlimo.com
Phone: 828-265-2504

Instructions for Registering

Print this form, fill it out, and mail with payment as shown below.

If paying in U.S. funds, please make checks payable to "ACGA" and mail registration form and check to:

ACGA Gaelic Song & Language Week
c/o Rudy Ramsey, Registrar
7644 E. Lakecliff Way
Parker, CO 80134-5933

If paying in Canadian funds, make checks payable to "Toronto Gaelic Learners Association" and mail registration form and check to:

ACGA Gaelic Song & Language Week
c/o Janice Chan
43 Norbrook Crescent
Toronto ON M9V 4P7