close window

COLUMBIA GORGE FIDDLE CONTEST
Registration Form

Click to fill in fields, print and mail with a check for the total to the address listed at the bottom. Or, print, fill out appropriate fields and mail with a check for the total to the address listed at the bottom.

Early registration before April 30, 2010. If you register after Aprl 30, add $5.
Name (please print):
 Date:
Address:
Birthdate*:
 Age:
City:
State:
 ZIP:
Phone:
 ( )
Cell Phone:
 ( )
Email:
Name (for Twin Fiddle):
Birthdate*:
 Age:
Contestant's Guest**:
 *Birthdate is mandatory, except for Accompanists and Open Division.
**Tickets are sold for each day and evening show. Every contestant, registering in the Small Fry, Junion-Junior or Junior Divisions prior to April 30, 2010 is given ONE guest pass, allowing your guest free entrance to the contest on May 1–2.
Contest:      
Small Fry under 9 $10 fee Junior (13–17) $15 fee
Junior-Junior (9–12) $10 fee Young Adult (18–36) $15 fee
Adult (37–59) $15 fee Senior (60 & over) $15 fee
Twin Fiddle $10 fee ($5 each) Jr. Acoustic $15 fee
Grand Champion (all ages) $20 fee Adult Acoustic $15 fee
Entertainment Showcase $20 fee Accompanist $15 fee
Recent contests won:
Is this your first contest?    Yes      No
Friday Night Concert
$12 each adult, or over 10 years old
number: 		$5 each child under 10 years old
number of children:
Workshops $20 each Groove Fiddle Mandolin Guitar
Tickets for family members $25 for 2 adults and up to 2 children
 
Columbia Gorge Fiddle Contest T-shirts, 100% high quality cotton with logo on the front, no pocket.
Youth: S M L   $10 each
Adults: S M L XL $10 each
Include the funds for the t-shirt with your registration. Your t-shirt will be ready for you at the contest!
 
A Photograpghy/DVD release form
I hereby consent to and authorize the use and reproduction, in print or electronic format by the Columbia Gorge Fiddle Contest or anyone authorizized by the Columbia Gorge Fiddle Contest, of any and all photographs and or DVD's which have been taken during the event and contest for any publicity purpose, without compensation. All images--electronic, negatives and positives, together with the prints, are owned by the the Columbia Gorge Fiddle Contest, I hereby acknowledge that I am 18 years of age or older and have read and understood the terms of this release. If I am not 18 years old then one of my parents will sign this release.

Signature:

 

Parent Signature (if Contestant is under 18 years old):

 
 

Mail this form with a check to: Columbia Gorge Fiddle Contest

Denise McCravey
610 Oak St.
Hood River, OR 97031

Please, pretty please, fill this form out completely. A separate form is required for each contestant and accompanist. One check for multiple registrations is fine.

 

close window