Names: *

Street Address *

eMail address *

City *

Choice of Instructor for Private Lesson *

Jim

Will

State *

Zip Code *

Cellphone Number (if needed to be reached during the camp) *

Are You Staying at the Grant Street Inn? *

Yes

No

Number of Years Playing Mandolin * 6 months or less 6 months to 1 year 1 year to 18 months 18 months to 2 years 2 to 4 years 4 to 6 years 6 to 10 years 10 to 20 years 20 years +

Other Instruments Played *

Guitar

Banjo

Bass

Violin

Dobro

Wind

Brass

Percussion

Keyboard

Voice

Other

Mark Other Mandolin Camps or Workshops You've Attended (all that apply)

Richter Camp

Mandolin Symposium

Kaufman Kamp

Monroe Camp

Augusta Folk

Sore Fingers

Mandolin Camp North

Julin Workshop

Compton Workshop

Baldassari Workshop

White Workshop

Flinner Workshop

DelGrosso Workshop

Marshall Workshop

Other

Can You Read Standard Notation? *

Yes

No

Can You Read Tablature? *

Yes

No

Mandolin Interests for Camp (mark all that apply) *

Rock Styles

Blues Styles

Jazz Styles

Americana Styles

Choro

Theory

Harmony

Accompaniment

Rhythm

Arrangement

Soloing

Motivation

Breaking Out of a Slump

Inspiration

Electric mandolin

Other

What Are Three Things You'd Like To Learn From This Camp: *

Anything Else You'd Like to Share?

How Are You Submitting Payment? *

PayPal ($350 + $8 surcharge)

Mail ($350)

To pay $350 registration fee via paypal (plus $8 surcharge)

This will lead you through a website checkout process using a shopping chart.

To pay $350 registration fee via snail mail, please send check to

Jim Richter
6931 West Koontz Road
Bloomington, IN 47403

Cancellation at one month from time of event will result in 50% forfeit of tuition.  Cancellation within one week of event will result in 100% forfeit of tuition.  It is ok to sell your spot to other interested campers.