Balance due one week before class.
Mailed registration with total payment of $125 must be postmarked by Feb. 24.
Prefer to pay with PayPal? Click here
Send check or money order (payable to Wernick Method) plus completed registration form to:
Wernick Method
2317 Barnetts Creek Rd.
Columbia, KY 42728
Sign me up for Bluegrass Jamming Class
Please confirm my registration and send full orientation info.
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 class?
___ 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? _________________________________)
___ from a former camper (who? ___________________________)
___ other: _____________________________________________)


