Fiddler Fest Registration Form

Newburgh Fiddler Fest 2006
September 22-23, 2006 Registration Form

Name:________________________Address:_________________________

City:__________________________State:_____Zip:__________

Phone #:________________________

E-mail:__________________________

Contests/championships won:

Division Entered: (enter only one of these)

____ OPEN: $15 registration by August 31, $25 after August 31

____ Senior:
(60 & over) $5 registration by August 31, $10 after August 31

____ Adult:
(19 - 59) $5 registration by August 31, $10 after August 31

____ Junior:
(13 - 18) $5 registration by August 31, $10 after August 31

____ Jr. Jr.:
(12 & under) $5 registration by August 31, $10 after August 31

____ Pee Wee.:
(9 & under) $5 registration by August 31, $10 after August 31

**Division Entered:** (*enter only one of these*)
____	OPEN:	$15 registration by August 31, $25 after August 31
____	Senior: (60 & over)	$5 registration by August 31, $10 after August 31
____	Adult: (19 - 59)	$5 registration by August 31, $10 after August 31
____	Junior: (13 - 18)	$5 registration by August 31, $10 after August 31
____	Jr. Jr.: (12 & under)	$5 registration by August 31, $10 after August 31
____	Pee Wee.: (9 & under)	$5 registration by August 31, $10 after August 31

Other Contests: (enter as many as you like)
$5 each if registered by August 1, $10 each after August 1

____
Twin Fiddle

____
"Anything Goes" Hot Fiddle

____
Gambler's Draw

____ Cross-Tuned Division

____
Ragtime Annie

____
Faux Fiddle

____ Accompanist (Free)

Total Enclosed $____________
Mail this form with your check to:

Newburgh Fiddler Fest
c/o Kiwanis Club of Historic Newburgh
P. O. Box 14
Newburgh, IN 47629-0014

When we receive your registration form, we will send you confirmation of your entry in the contest and a brochure on the Newburgh area which will include information on accommodations.

HOME