-=[ AMERICAN BANJO CAMP 2008 REGISTRATION ]=-

NAME:                              
                                          
STREET ADDRESS:                               
                                              
CITY, STATE, ZIP/POSTAL CODE:

EMAIL:                                      PHONE:

AGE:          T-SHIRT SIZE:                 DATE:   /   /

I expect to attend classes in (mostly):
_ Bluegrass   _ Old Time   _ both equally   _ neither

SKILL LEVEL, check the one that comes closest:
_ RANK BEGINNER (I just got my banjo.)
_ BEGINNER (up to 6 months playing.)
_ LOW INT. (6-12 months; can play a few tunes, at slow tempo.)
_ INTERMEDIATE (over 12 months; play tunes at medium speed.)
_ HIGH INT. (two or more years; some tunes up to speed.)
_ ADV (many years; can play a few dozen tunes up to speed.)
_ PRO (I play banjo on stage or in working bands.)

JAM PREFERENCES, check all that apply:
_ I've never (or hardly ever) jammed before; get me started!
_ I've jammed some, but need slow tempos & straight tunes.
_ I'd like to have someone call out the chord changes.
_ I'd enjoy a moderate jam (familiar tunes, medium tempos).
_ I'd enjoy an up-to-speed jam (standard tunes, any speed).
_ I'd enjoy a wild, experts' jam (no holds barred).
_ I'd enjoy watching a wild, no-holds-barred, experts' jam.

INTEREST AREAS, check all that apply:
_Straight-ahead Scruggs  _Chromatic 3-finger  _Melodic 3-finger
_Basic clawhammer  _Round Peak clawhammer  _Melodic clawhammer
_Fiddle tune backup  _Song accompaniment  _Oldtime fingerpicking
_Styles of roots artists  _Technique(how to)  _Repertoire(tunes)
_Other, describe on back or on another sheet, if necessary.

If we hire additional faculty, whom would you like to see added?

How did you hear about American Banjo Camp?

I'm paying $       by:  __Check/Money Order   __Visa   __Mastercard
   (see Notes)
Credit card number:                        Exp:     /

Registration is first-come, first-served. If camp is already full
should we _ put you on the waiting list or _ return your deposit?

Lodging     women:  _ Women-only   _ Co-ed/Women-only  _ tent/RV/other
preference    men:  _ Men-only     _ Co-ed/Men-only    _ tent/RV/other

Emergency Contact (name, relationship, phone)?

Describe any dietary requirements or physical conditions we should
know about.