Banjo Camp North - Registration Form
May 14, 15, & 16, 2010
Fill in the form on-screen, then choose "File - Print" and mail it in with payment to:
Banjo Camp North, PO Box 1755, Orleans, MA 02653
If registering for more than one person, please submit a separate form for each individual.
(Returnees -- you may fill in just your name and any information that has changed.)

First Name: Last Name: Date:
Address:
City:
State:
Zip:
Country: Phone: Cell Phone:
Email: Name on badge:
We send notices via email. Please add Mugwumps.com to your Friends list so you receive them all.

Playing Level:
Novice: cannot play at all, or just a little, but not with others.
Beginner: play some tunes, basic chords, & chord changes.
Intermediate: play tunes, recognize changes, play with others slowly.
Advanced: play tunes up-to-speed, want to improve playing in groups. 		Interests?
Bluegrass
Old Time
Minstrel/Classic
Fiddle
Special requests?   Vegetarian meals  Women's cabin  Couples' cabin  Quiet cabin (no playing 10pm-8am) 
How did you hear about BCN?   Free T-shirt size? (S-4x)
Payment Options
Tuition, room, & board in full:

Resident registration, $375. (Includes 6 meals).
Commuter, $325 . (Includes 6 meals). Staying where?
Deposit, $100. (Non-refundable.)
Resident, non-playing spouse/partner, $250. (Includes 6 meals).

Optional - Thurs night lodging, $75/person. Meals start Friday supper.
Optional - Sheets, pillowcase & towel, $20 (camp provides bed, blanket & pillow).
Optional - extra BCN T-shirt, $20.   Size(s).
Optional - color photo of staff and attendees, $25
Day rates:
Friday only, $150 includes supper but no accommodations.
Saturday only, $250 includes 3 meals but no accommodations.
Sunday only, $200 includes breakfast & lunch but no accommodations.

Total amount:   Payment type: Check enclosed Mastercard Visa
Name as it appears on credit card:
Credit card number: - - -  Exp. Date
The first $100 of the registration is a processing fee and is not refundable. Full payment is requested by March 15th. No refunds after March 1st. Some partial work/study scholarships available.