Rhythm Bones Society
Membership Application Form
Mail this form together with a check for $25.00 payable to:
Rhythm Bones Society
1060 Lower Brow Road
Signal Mountain, TN  37377

Name: (please print)_____________________________________________
Street Address:________________________________________________
City:______________________ State:________Zip:__________________
Telephone Number:(___)_________________________________________
Email address:________________________________________________

Optional Information:  The following survey will increase understanding of bones players.  No individual data will be released, but a summary of all players will be published in the newsletter.  (Feel Free to use an additional page if needed.)

1.  How, when and/or from whom did you learn to play the bones?________
___________________________________________________________
____________________________________________________________
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2. Style of play:       One handed                Two handed    (circle one)

3. Level of play:      Beginner    Intermediate    Advanced    Professional      (circle one)

4. Style(s) of music:(eg Ragtime)___________________________________
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5. How do you hold the stationary bone? (circle one)
Between thumb and 1st finger     Between 1st and 2nd fingers         Both ways        Other:(please describe)___________________________________________
____________________________________________________________

6. Do you Perform?         Yes        No       (circle one)
If Yes, please describe.___________________________________________
____________________________________________________________

7. Do you teach Bone Playing?   Yes            No       (circle one)
If Yes, please describe.___________________________________________
____________________________________________________________
If Yes, how many people have you taught__________

8. What is your age? ______     9. What is your sex? Female  Male (circle one)

10. What kind of Bones do you prefer?__________________________
__________________________________________________________

11. Where do you obtain your bones?_____________________________

12. Do you sell bones and related materials?    Yes        No       (circle one)
If Yes, please describe

13. How did you hear of the Rhythm Bones Society?___________________
____________________________________________________________
____________________________________________________________
______________________________________________________________

14.  Other Comments:_________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

15.  Names and addresses of other bone players to send newsletter and application form:________________________________________________________
____________________________________________________________
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