PEACH BOTTOM FARM FIDDLE & STRINGS CAMP 2010


〇   REGISTER ME at PEACH BOTTOM FARM FIDDLE & STRINGS CAMP  -  $435.00

REGISTRATION INFORMATION -

A DEPOSIT OF $175.00 PER PERSON IS REQUIRED.  Registration is first come first serve for the first 30 people!
If you are unable to attend you must notify us in writing by May 25th 2010 or your deposit will not be refunded.

ABOUT YOU   -   beginner        intermediate       advanced

I LEARN BEST BY    -     ear      read music       both       don't know

STYLE/GENRE INTEREST(s) - Appalachian Old Time / Bluegrass / Canadian Old Time / Contest / Irish / Scottish       

I'M SIGNING UP FOR     -          Banjo                  Fiddle              Guitar              Mandolin                 Bass            

*Any applicants under the age of 16 must be accompanied by a parent or a guardian designated by a parent. Minors not
accompanied by a parent must go through the application process together with their guardians. You will need to enter the name of the designated guardian on the application of any unaccompanied minor.

*We offer a multi-family discount of $35.00 per additional family member.

I am a Chaperone/Guardian (your name) ________________________________________________________
for my child(ren)________________________________________________________________________________
*____________________________________________________________________
*____________________________________________________________________
who is under 16 years old.                                  Chaperone cost is $200.00

PAYMENT:
Check (mail to)                                                                                                MY TOTAL IS      $ ___________
PEACH BOTTOM FARM                                                                                                           
3609  Peach Bottom Rd.                                                                                   MY DEPOSIT       $ ___________
Independence, VA. 24348                                                                                                 
                                                                                                                    BALANCE DUE    $ ___________
             
 further information email:  PeachBottomFarm@yahoo.com