Participant Name:________________________________________________

Address:______________________________________________________

Phone Numbers:______________________  E-mail:_____________________

Workshop:

[   ] Fiddle[   ] Guitar[   ] Mandolin[   ] Piano

[   ] Other________________________________________________

Level of Expertise:

[   ] Beginner[   ] Intermediate[   ] Expert

Workshop Title/Leader:__________________________________________

Date/Time of Workshop:__________________________________________

NYSOTFA Music Workshop Registration
$35 Registration Fee
Includes Lunch

Please print and complete this application and make check payable
to the New York State Old Tyme Fiddlers' Association.

Mail Check and Application to:

Day Long Workshop
NYSOTFA
PO BOX 24, Redfield NY 13437