SUWANNEE BANJO CAMP 2012 REGISTRATION
Copy this form into a text editor or word-processing program,
fill it out and send it to us via email. Or, print it out and send
along with your payment via the post. See instructions below.
NAME:
STREET ADDRESS:
CITY, STATE, ZIP/POSTAL CODE:
EMAIL (Please print VERY clearly):
EMAIL (If writing by hand, please print again):
PHONE:
AGE RANGE: __Under 18*, __18-25, __26-30, __31-40, __41-50, __51-60, __61+
* Students Under 18 must have parental permission and supervision
(contact us to make special arrangements).
SKILL LEVEL
_ RANK BEGINNER
_ NOVICE (Less than one year's experience)
_ 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:
_ Never jammed before
_ I've jammed some, but only at slow tempos
_ 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 taking part in wild, experts' jam (no holds barred).
MAIN INTERESTS:
__ I WILL ATTEND THE SBC OLD-TIME BANJO PROGRAM
__ I WILL ATTEND THE SBC BLUEGRASS BANJO PROGRAM
__ I WILL ATTEND OLD-TIME AND BLUEGRASS BANJO CLASSES ABOUT EVENLY
__ MY MAIN INTEREST IS THE OLD-TIME FIDDLE TRACK
__ I WILL ATTEND FIDDLE CLASSES AND OLD-TIME BANJO CLASSES ABOUT EVENLY
__ I WILL ATTEND FIDDLE CLASSES AND BLUEGRASS BANJO CLASSES ABOUT EVENLY
OLD TIME BANJO INTEREST AREAS, check all that apply:
_Round Peak clawhammer, _Melodic clawhammer, _Song accompaniment, _Oldtime fingerpicking,
_Minstrel, _Clawgrass, _ Other, describe on back or on another sheet if necessary.
BLUEGRASS INTEREST AREAS, check all that apply:
_"Traditional" Bluegrass/Scruggs-Style, _ Melodic, _ Single String, _ jazz, _ Backup,
_ Other, describe:
Have You attended Suwannee Banjo Camp in the past? If so, what year(s)? _______
If this is your first time at SBC, how did you hear about us?
Tuition, Room & Board.
- Tuition (includes meal plan): $360
- Extra Day Program: $85
- Accomodations in a cabin at O'Leno State Park is available from us
on a first come, first served basis, at a cost of $17.50/night (2 nights = $35).
- Accommodations package deal. $50 gives you lodging for the Regular Camp plus Extra Day (that is, stay three nights in our cabins -- Thurs. through Sat. -- for $50).
- Non-participating Spouse/Companion fee (includes meal plan), regular camp only: $110.
- Non-participating Spouse/Companion fee for Extra Day (includes meals): $35.
- Friday lunch (if registered only for regular camp): $10
[Note: If you are registered for the Extra Day, Friday lunch is included in your tuition fee]
Space in the Campgrounds may be obtain directly from O'Leno State Park,
Students may also elect to reserve lodgings on their own account in local motels,
hotels or guest houses.
Note: If you wish to register more than one person, use more than one registration form!
Check all options that apply:
__ Early Bird Tuition with Meal Plan,__ Full Regular Tuition with Meal Plan,
__ Extra Day Program, __ Cabin Accomodations (2 nights),
__ Cabin Accomodations (3-night package deal), __ Non-Participating Spouse/Companion fee
(regular camp only), __ Non-Participating Spouse/Companion fee (Extra Day),
__ Friday Lunch (if registered only for Regular Camp).
Total Amount Owed:
by: _ Check _ Visa _ Mastercard
Credit card number:
Exp: /
Credit Card Billing Address (if same as street address, write "same"):
Cabin Accomodations, Women: _ Women-only, _ either Co-ed or Women-only
Cabin Accomodations, Men: _ Men-only, _ either Co-ed or Men-only
In case of emergency, who should we contact (name & phone)?
Describe physical conditions that we should know about. If you sign up for our
meal plan,also describe any dietary requirements you might have.
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