SUWANNEE BANJO CAMP 2008 REGISTRATION FORM

SUWANNEE BANJO CAMP 2008 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): 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). OLD TIME BANJO INTEREST AREAS, check all that apply: _Round Peak clawhammer, _Melodic clawhammer, _Song accompaniment, _Oldtime fingerpicking, _Minstrel, _Clawgrass, _ novice track, _intermediate track, _ Other, describe on back or on another sheet if necessary. BLUEGRASS: __ I INTEND TO ATTEND THE SBC BLUEGRASS TRACK FIDDLE: __ I WILL ATTEND BOTH BANJO AND FIDDLE CLASSES AFRICAN ROOTS TRACK __ I INTEND TO CONCENTRATE ON THE THE AFRICAN ROOTS PROGRAM Have You attended Suwannee Banjo Camp in the past? If so, what year? _______ If this is your first time at SBC, how did you hear about us? Tuition, Room & Board. - Deposit (to hold a place at SBC until Jan. 21, 2008): $100. - Tuition, including meals: $310. - Accomodations in a cabin at O'Leno State Park is available from us on a first come, first served basis, at a cost of $15/night. - Non-participating Spouse/Companion fee (includes meal plan): $85. 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. I'm paying $ for (check all that apply) __ Deposit, __ Full Tuition with Meal Plan, __ Cabin Accomodations, __ Non-Participating Spouse/Companion fee. by: _ Check _ Visa _ Mastercard Credit card number: Exp: / 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.

All registration requests after Jan. 21, 2008 must be accompanied by full payment. If you wish to register more than one person, use more than one registration form!

Mail completed form & payment to:

Suwannee Banjo Camp
c/o Ken Perlman
1018 E. University St.
Bloomington, IN 47401

Registration by Email To register by email, using a credit card:
(1) use cut-and-paste to copy the registration form into your text editor (e.g. MS Word, notepad, etc.); and then type your answers into the form. Answer everything EXCEPT the question about your credit card number; include the expiration date, but not the number.
(2) E-mail the edited registration form to "kenperlman@aol.com" with the subject heading, "Suwannee Banjo Camp Registration".
(3) Finally, send a separate email message to the same address with the same Subject, containing just your credit card number with no other explanation (we'll figure it out).