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

This camp is close to full and mostly needs bass players. Before mailing registration, write Pete about available space. Bass players (electric OK) eligible for discount. Fiddle, mandolin, dobro players also encouraged to register.

Please confirm my registration and send full orientation info.

[ ] REGULAR TUITION ($195)
[ ] $80 deposit enclosed, $115 due on arrival.

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

Do you sing? [ ] yes, know many songs   [ ] a little   [ ] no
Jam experience? [ ] never   [ ] rarely   [ ] 5-15 times   [ ] 16+ times

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.