Print out and complete this form, or write out the information on a separate sheet:
Sign me up for Bluegrass Jam Camp!

[ ] REGULAR TUITION ($225)
[ ] $15 off if full tuition of $110 paid before August 21, 2008
[ ] $10 off if full tuition of $115 paid before September 21, 2008
[ ] $95 deposit enclosed, $130 due on arrival.

All but 50% of deposit amount refundable until October 21, 2008.

Name: ________________________________________________

Address: ______________________________________________

City, State, Zip: _________________________________________

Main telephone: ________________________________________

E-mail: _______________________________________________

Check which instruments you play, and circle the main one:
[ ] guitar   [ ] banjo   [ ] mandolin   [ ] fiddle   [ ] bass
[ ] resonator guitar (dobro)   [ ] other: _____________   [ ] none

Can you "fake" solos on your instrument?
[ ] no   [ ] sometimes   [ ] usually

Experience playing bluegrass with others:
[ ] occasional jamming   [ ] extensive jamming   [ ] band member

Singing experience: [ ] sing lead   [ ] can lead a song   [ ] harmony

How did you FIRST hear about this camp?
___ DrBanjo.com
___ magazine ad (which magazine?________________________)
___ radio (what station? ____________)
___ article in newspaper or magazine (which one?_____________)
___ the festival's web site
___ flyer (where?_______________________________________)
___ Dr. Banjo email newsletter
___ music teacher (who? _________________________________)
___ former camper
___ other: _____________________________________________)

Mail to DR. BANJO 7930-P Oxford Rd. Niwot, CO 80503.
Checks payable to Dr. Banjo.