Teacher Name: ______________________________________________

 
  • M = member price, P = public price.
  • Concert tickets: Performers, no charge; MEDSOK members, $5; All others, $10, even if purchased by MEDSOK member.
  • Total number of students x $10 = total teacher discount you take on your own registration form.
MEDSOK
member
fee
Sat
workshop
Concert
tickets
Sunday
workshop
Student
Total
 1  Name
Address
Email & phone

$20
M
$60
P
$80

___@$5

___@$10
M
$35
P
$40
 
 2  Name
Address
Email & phone

$20
M
$60
P
$80

___@$5

___@$10
M
$35
P
$40
 
 3  Name
Address
Email & phone

$20
M
$60
P
$80

___@$5

___@$10
M
$35
P
$40
 
 4  Name
Address
Email & phone

$20
M
$60
P
$80

___@$5

___@$10
M
$35
P
$40
 
 5  Name
Address
Email & phone

$20
M
$60
P
$80

___@$5

___@$10
M
$35
P
$40