Application Form
Nova Scotia Rug Hooking School
Spring Session May 2—7, 2010
Agricultural College, Truro, Nova Scotia
Applications are invited from current members of the RHGNS.
Please refer to the center insert for further information. The Registrar will accept applications by mail only - no earlier than January 4, 2010.
Name______________ _____________________________________________________________________
Address_________________________________________________________________________________
Province/State__________________________ Postal/Zip Code____________________________
E-mail Address ________________________________Telephone________________________________
Next of Kin __________________________________Telephone__________________________________
Please indicate your first, second and third choices.
___ Bringing Animals to Life Jon Ciemiewicz
___ Dyeing Techniques with Basic Color Theory Barbie Baker-Dykens
___ Expressive Fine-Cut Pictorials Jane Halliwell-Green
___ Historical Grenfell Mats Joan Foster
___ Let's Play with Shapes Iris Simpson
___ Open Class Doris Norman
___ Persnickety Primitives Cherylyn Brubaker
___ Rug Hooking: Beginners-Advanced Beginners Linda MacDonald
___ The Whole Bloomin' Garden Bette Wrathall
___ Wind and Wave Pam Bartlett
___ On Your Own Without Teacher
Please complete:
Is this your first time at Rug School? Yes ( ) No ( )
Will you require a room on Campus? Yes ( ) No ( ) Private? ( ) Shared? ( )
Please indicate your roommate's name if you have one __________________________
Do you have a problem with stairs? Yes ( ) No ( ) With walking any distance? Yes ( ) No ( )
Do you have any dietary needs? Allergies___Diabetic___Celiac___ Vegetarian ___
Other, specify:_______________________________________________________________________
v Your application must be accompanied by full payment in Canadian funds.
v Your application must include a cheque for the deposit and one postdated for the balance owing dated no later than March 15, 2010. Commuters send one cheque for the full amount owing. Please see Course Description for details
v Mail application with cheques to the Registrar:
Linda MacDonald
Box 281 Pictou, NS B0K 1H0
email Linda at eldonmacdonald@eastlink.ca
or Telephone: 902-485-9270
Applications and cheques incorrectly submitted will be returned.
There are no deposit refunds after March 1, 2010; no balance-owing refunds after April 1, 2010.
This application must be signed to indicate that you have read and understood the above policies.
Signature_________________________________________ Date_________________________