Mission Mountain Irish Music Camp Registration

Ainm/Name *

Ainm/Name

First Name

Last Name

Seoladh/Address

Seoladh/Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guthán/Phone

Guthán/Phone

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E-Phost/Email *

Instrument?

How many in your group?

How many tents/campers?

Number in your party planning to take advantage of the on-site food option ($75 per person)?