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. |
_________ |
|
ZOOM Registration Fee ZOOM Participant Email ____________________________________________ |
____@ $ 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. |
_________ |
|
| You'll Love Fiddlin' Vol. II, by Jana Jae | |||
| Book (Vol. II) with CD | _____@ $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 | _____@ $12.00 ea. | _________ |
| Shipped | _____@ $17.00 ea. | _________ | |
| Medium | Pick-up at Registration Table | _____@ $12.00 ea. | _________ |
| Shipped | _____@ $17.00 ea. | _________ | |
| Large | Pick-up at Registration Table | _____@ $12.00 ea. | _________ |
| Shipped | _____@ $17.00 ea. | _________ | |
| XLarge | Pick-up at Registration Table | _____@ $12.00 ea. | _________ |
| Shipped | _____@ $17.00 ea. | _________ | |
| XXLarge | Pick-up at Registration Table | _____@ $12.00 ea. | _________ |
| Shipped | _____@ $17.00 ea. | _________ | |
| MEALS (optional) | |||
| Fri. Dinner | _____@ $10.00 ea. |
_________ |
|
| Sat. Lunch | _____@ $7.00 ea. |
_________ |
|
| Sat. Dinner | _____@ $10.00 ea. |
_________ |
|
| Sun. Lunch | _____@ $7.00 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, at Snider's Camp.
