QUESTIONNAIRE

Dear Applicant:

Thank you for your interest in attending our  workshop.  To make your stay more enjoyable, we have provided a questionnaire for you to spend a few minutes filling out, use an additional piece of paper, if necessary. Please  print out and send it to:  BSRR; 5600 Bostwick Road; Bozeman, MT,  59715,  or copy and paste to a word document and email it  to Chris@bigskyrr.com.   Thanks!

Your first and last name:____________________

Your address:____________________

Your phone number:  Cell__________     Land line__________

Occupation:____________________

Date of birth (optional):__________

How did you find out about BSRR?____________________

Would you like to stay at the Retreat or will you be off site?____________________

Did you encourage anyone else to sign up? _____ If so, please give us the students name:____________________

Will you be bringing a guest? _____  If so, please have him/her fill out a questionnaire as well.

What musical instrument(s) do you play?____________________

What level do you play?     Beginner       Intermediate       Advanced

Briefly describe your musical history:________________________________________

Will you be bringing an instrument?_____

If not, will you have rental needs? _____    (inquire for our backline equipment list)

Will you require any special needs? _____    If so, what would those needs be?

Do you have any food allergies?_____  If so, please indicate what you are allergic to:____________________

What are your breakfast preferences for those staying at the Retreat?____________________

What are your lunch preferences?____________________

What are your dinner preferences?____________________

Are you interested in participating in the Montana Day?_____  If so, what would you like to do?

(circle three choices below)

What is your budget for the Montana Day?_____  It will help me narrow down what your options are, and then I can provide links for you to follow.

Hiking        Biking        Golfing        Fly-Fishing        White Water Rafting

Floating      Kayaking        Horseback Riding        Field trip        Downhill Skiing

Cross Country Skiing        Snow Shoeing        Dog Sledding

Snowmobiling       Taking a Helicopter Tour        Taking a Gibson Tour

We look forward to your arrival!!

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