Sign me up for Bluegrass Jam Camp!
Please confirm my registration and send full orientation info.
Accommodations info at merlefest.org

[ ] REGULAR TUITION ($340)
[ ] EARLYBIRD TUITION ($330) if paid in full by 2/23
[ ] $120 deposit enclosed, $220 due on arrival.

All but 50% of deposit amount refundable until March 23rd.

Please answer all questions on this form. You are welcome to enclose further information about your experience and concerns.

Name:________________________________________

Address:_________________________________________________

City, State, Zip: ___________________________________________

Home telephone number:____________________________________

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? ____________________________________)
___ friend
___ other: ________________________________________________)

Mail to:
DR. BANJO 7930-P Oxford Rd. Niwot, CO 80503

Checks payable to Dr. Banjo

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