Log Cabin Repair and Restoration Workshop,
Monday-12:00PM to Friday 12:00PM, April 4-8, 2022
Registration Form:
Name:
Street Address:
City/State/Zip Code:
Email: Phone:
This is my registration for the Log Cabin Chinking and Daubing Workshop sponsored by the Friends of the Log Cabins Association, to be held in the Lincoln-era Log Cabin Village located in the Quinsippi Island Park, Quincy, IL starting at 12 PM, Monday, April 4th ending at 12 PM Friday April 8th, 2022.
Enclosed is my registration fee of $125.00, which includes a box lunch for Tuesday, Wednesday and Thursday.

Note: Instructor requests proof of Vaccination for COVID to include Booster shot. I understand there is a requirement for proof of COVID vaccination to include the Booster shot. I will provide that proof on the first day of the workshop.

I understand if I cancel before March 11th, I will receive a refund of my full registration fee (if paid), but after that date I will not receive a refund.
I understand registrations must be received by March 11, 2022. If too few registrations are received, I understand the workshop may be canceled and if so, I will receive a full refund.
I understand I am to have my own insurance and will not hold the Friends of the Log Cabins Association liable for injuries incurred in participating in this workshop.

Signature: _____________________________________ Date: ______________________


Person to Contact in case of emergency:
Name and relationship:
Address:
Work Phone: Home Phone:

Make Check to: Friends of the Log Cabins. Mail to Friends of the Log Cabins, P.O. Box 3122, Quincy, IL 62305.
The Friends of the Log Cabins Association is a non-profit 501c3 association dedicated to restoring, preserving and utilizing the log cabins and other structures located in the Lincoln-era Log Cabin Village, Quincy, IL.

For a School or Group Tour email: logcabinvillagequincyil@gmail.com

Note: To Fill out Form for Chinking and Daubing Workshop below: Highlite information: "Right Click" on it; select "Copy"; open a blank Word document and click "Paste".