Jana Jae Fiddle Camp & Music Fest
Registration Form

Date:____________

Name:________________________ Age:____  Address:_________________________

City:__________________________State:_____Zip:__________

Phone #:________________________

E-mail:__________________________

Level:  Beginner_____  Intermediate_____  Advanced_____

What you want to learn / Comments:

 

FEES:
WORKSHOP REGISTRATION FEE _____@ $ 150.00 ea.

_________

Registration Fee if post-marked by Aug. 15 _____@ $ 100.00 ea.

_________

More than one family member _____@ $ 85.00 ea. _________
One day only  _____@ $ 80.00 ea.

_________

LEARNING AIDS: Special price for Fiddle Camp Registrants and Instructors only.  May be ordered at the regular price at janajae.com
You'll Love Fiddlin' Vol. I, by Jana Jae

Book (Vol. I) with CD _____@ $15.00 ea.

_________

Book (Vol. I) with Cassette _____@ $15.00 ea.

_________

You'll Love Fiddlin' Vol. II, by Jana Jae
Book (Vol. II) with CD _____@ $15.00 ea. _________
Book (Vol. II) with Cassette _____@ $15.00 ea. _________
FIDDLE CAMP T-SHIRT: Must be ordered by Aug. 24.  Gray with Colored Logo
Follow this link for an idea of the color scheme, use 'Back' Button to return.
Small Pick-up at Registration Table _____@ $8.00 ea. _________
Shipped _____@ $10.00 ea. _________
Medium Pick-up at Registration Table _____@ $8.00 ea. _________
Shipped _____@ $10.00 ea. _________
Large Pick-up at Registration Table _____@ $8.00 ea. _________
Shipped _____@ $10.00 ea. _________
XLarge Pick-up at Registration Table _____@ $8.00 ea. _________
Shipped _____@ $10.00 ea. _________
XXLarge Pick-up at Registration Table _____@ $8.00 ea. _________
Shipped _____@ $10.00 ea. _________
MEALS (optional)

     Fri. Dinner   _____@ $8.00 ea.

_________

     Sat. Lunch   _____@ $5.00 ea.

_________

     Sat. Dinner   _____@ $8.00 ea.

_________

     Sun. Lunch   _____@ $5.00 ea.

_________

Snider's Camp Reservations (optional)
     RV   _____@ $12.00/night

_________

     Tent   _____@ $8.00/ night

_________

    

TOTAL ENCLOSED:

$_________

Mail this form with your check to: Jana Jae Fiddle Camp, P.O. Box 451590, Grove, OK 74345
When we receive your registration form, we will send you confirmation of your entry in the Fiddle Camp.
With your registration you are invited to the kick-off party on Friday, August 29th, at Snider's Camp.

Register Online with PayPal

Back to Jana Jae Fiddle Camp page.