Gerald Veasley's Bass Bootcamp

This is the registration form for the Bass BootCamp at Sea. This form is to be filled out AFTER you have signed up for the Capital Jazz Cruise. All of your personal information will be kept confidential. You will be added to the Bass Boot Camp mailing list.

First Name:

Last Name:

Email:

Date:

Phone Number:

Street Address:

City:

State:

Zip:

Level of Bass Playing:

How Did You Hear About Bass Bootcamp?

Your Cruise Registration Number: (please use the code G10-175)

We respect your email privacy

Bass BootCamp at Sea Form