Registration Form
Please print and mail
PRE-REGISTRATION FOR WASHINGTON OPEN FIDDLE CONTEST
| Entry Fee | Entry Fee After 7/25 |
Division |
||
| $7.50 | $10.00 | Small Fry | ||
| $10.00 | $12.50 | Junior-Junior | ||
| $10.00 | $12.50 | Junior | ||
| $10.00 | $12.50 | Adult | ||
| $10.00 | $12.50 | Senior | ||
| $5.00 | $7.50 | Duet / Each Person | ||
| $5.00 | $7.50 | Novice | ||
| $12.50 | $15.00 | Championship | ||
| $ 0 | $ 0 | Accompanist | ||
| $ ___________ | Total Remittance | |||
| Name ________________________________________________________ | |||||||||||||||||
| Address ______________________________________________________ | |||||||||||||||||
| City __________________________________ | State _____ | Zip _________ | |||||||||||||||
| Telephone ( ) _______________ | Age_____ | D. O. B. _____/_____/_____ | |||||||||||||||
| Fiddler's Guest (1 only) ___________________________________________ | |||||||||||||||||
| Occupation ____________________________________________________ | |||||||||||||||||
| Hobbies / Interests _______________________________________________ | |||||||||||||||||
| Contests Entered _______________________________________________ | |||||||||||||||||
______________________________________________________________
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