This is the registration page for a jam that already happened. Please return to the Home page to find the jam you actually mean to register for, or contact us if something's amiss on the site.

                                                    Spring 2007 EAST COAST JAM Registration

Name:  _________________________________________________________________

Address: Street: __________________________________________________________

         City:   __________________________ State: __________ Zip: _________

         Phone:  __________________________

         Email:  ___________________________________________________________

I will be there for the entire jam  -   O-Yes  O-No (see below)

I will be there for part of the jam:

  Arrival time and date:   ______________________________

  Departure time and date: ______________________________

Meals are vegetarian -- any other dietary need?  (We cannot guarantee
specific diets, but will see if we can accommodate you if you let us know
ahead of time.)  Details:

__________________________________________________________________

__________________________________________________________________

Other requests?

__________________________________________________________________

Is email confirmation sufficient?   O-Yes   O-No

Do you need a ride?   O-Yes   O-No

Can you offer a ride?   O-Yes   O-No

Do you need:    O-work-study    or    O-scholarship?
      (availability limited; work-study requests must be made before March 28)

To register, send a non-refundable check for $50 made out to
"East Coast Jam" and a copy of this completed form to:

  Gary Kuntz
  PO Box 491
  Williamsburg, MA 01096

See you there!