Registration form for Pittsburgh Blues weekend

Pre-registration not required but encouraged!

No pre-registration for single workshops and evening dances - pay at the door.  


Please circle the package/price you are registering for.

Pricing
  Regular Student
Weekend Package
(Fri evening workshop, Fri evening Blues dance, Sat workshops, Sun workshops)
$65 $45

4 workshops

$35 $28
3 workshops $25 $20
 
I have enclosed

Name ____________________________________

Address ____________________________________

City _________________ State ______ Zip ________

Phone (eve.) __________________

Phone (day) ___________________

Email __________________

 

Please Print and Mail to:    
CCT c/o Joe Foreman
1311 S. Braddock Ave. Apt. 2
Pittsburgh, PA 15218-1201

Make checks payable to “Coal Country Traditions”.