Sign up for Silver Bay, NY Aug 20 2023 (Pete Wernick)

Please fill out this form and click Submit. You'll then be able to pay your deposit with a credit card.
Orientation materials will be sent to you at the email address you provide below

First Name : Last Name :

Email :

City : State : Zip : Phone :

Main Instrument : Banjo Guitar Fiddle Mandolin Dobro Bass

Other Instruments : Banjo Guitar Fiddle Mandolin Dobro Bass Other instrument

List other instruments :

Do you sing? : Not at all A little Yes, know many songs

Have you jammed before? : Never Rarely 5-15 times 16+ times

How did you FIRST hear about this class?

Which radio station?

Where was the flyer posted?

Name of music teacher?

Name of WM student?

Where?

Other?