Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Instrument *

Please select which instrument you are most interested in working on throughout the week.

Fiddle/Violin

Mandolin

Guitar

Tuition—$400 *

$50 EARLY BIRD DISCOUNT if you register and pay BEFORE April 26TH: Tuition = $350 Please select how you will pay for tuition: Venmo: @annie-young-bridges PayPal (Friend and Family): @nsstrings Check: Mail to Annie Young-Bridges 20214 South St. Covington, LA 70433 (Must be postmarked before April 26th for early bird discount)

Venmo

PayPal

Check

Media Waiver Agreement *

I give my permission to appear in videos, audio recordings, films, photographs, written articles, and on websites and social media sites.

Yes

No