Teen Fiddle Camp Enrollment Form

July 7-11 (M-F), 9-11 a.m., Student Ages: 13-19. Instructor: Howard Rains and Tricia Spencer. Cost: $180. Class Description: (Minimum enrollment: 5) Traditional American fiddle music is a fun and exciting style of music to play. This music has been passed down from generation to generation for almost 200 years! Learn fiddle repertoire and technique from master fiddlers Tricia Spencer and Howard Rains. Knowledge of the style is not required, but participants should have an instrument and be able to play at an intermediate level.

Student Name

Student Age

Student's Preferred Pronouns

Do you take private lessons?

What instrument(s) do you play?

Do you take private lessons?

Years and type of experience on this (these) instrument(s)

Address

Parent/Caregiver Name

Parent/Caregiver Email Address

Parent/Caregiver Phone Number

Texting Okay? Y/N

Emergency Contact and Phone Number

Any food allergies? Please specify.

Anything else you'd like us to know?

Photography Waiver: Occasionally, Americana Music Academy will solicit and utilize photography and video from lessons, performances, and other Americana-sponsored events. I hereby give Americana permission to use images and/or video of me/my student in (check all that apply): Photography Waiver: Occasionally, Americana Music Academy will solicit and utilize photography and video from lessons, performances, and other Americana-sponsored events. I hereby give Americana permission to use images and/or video of me/my student in (check all that apply): Web-based publications Print-based publications With or without student's full name Only without student's name I do not wish for Americana to use images of this student at all.

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