Participant Name:________________________________________________


Phone Numbers:______________________  E-mail:_____________________


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

[   ] Other________________________________________________

Level of Expertise:

[   ] Beginner[   ] Intermediate[   ] Expert

Workshop Title/Leader:__________________________________________

Date/Time of Workshop:__________________________________________

NYSOTFA Music Workshop Registration
$45 ($35 for Members of the NYSOTFA) Registration Fee
Includes Lunch and Friday Evening Pass

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
PO BOX 24, Redfield NY 13437