Contestant Name *

First Name

Last Name

Parent Name

If contestant is a minor

First Name

Last Name

Division(s) *

*Fiddlers may register for both a fiddle and picking division. *Accompanists will only get a name badge if registered.

Small Fry-- 8 & under ($10)

Jr. Jr.-- 9-12 ($15)

Junior-- 13-17 ($15)

Young Adult-- 18-36 ($20)

Adult-- 37-59 ($20)

Senior-- 60-69 ($15)

Sr. Sr.-- 70 and up ($15)

Championship-- all ages ($30)

Junior Picking - $10

Adult Picking - $15

Accompanist (free)

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Birthday *

MM

DD

YYYY