WMMC Membership Form

WMMC Membership Form
Contact Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Birthday

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Method of Contact*

Phone CallEmailTextMail
Membership Details
Monthly membership fees*

Individual Member $25Youth Member $15Band Member (3 or more) $15
Band Members
Please list name of band and band members.
A little more about you
How did you first hear about us?
Have you attended/played at any WMMC events? (check all that apply)?

Friday Night Open MicSaturday Night Open Mic/Open JamSunday Classic Country JamPlayed/practiced with an WMMC memberDropped by to listen to musicOther
What type(s) of music do you enjoy playing and/or listening to?

A cappellaBluegrass / American FolkBluesCaribbeanContemporary ChristianCountryDixielandEasy ListeningElectronicFlamencoFunkGrungeHip Hop / RapJazzLatin InfluenceMetalNew AgePopR&B / SoulReggaeRock (easy)Rock (hard)Singer / SongwriterTraditionalOther

What instrument(s) do you play or would like to learn to play?

	Beginner	Amateur	Accomplished Amateur	Professional	Would Like To Learn
Accordion
Banjo
Bells
Brass (e.g. Trumpet, French Horn)
Drums / Percussion
Guitar
Harmonica
Keyboards, Electronic
Piano
Strings (e.g. Violin, Concert Bass)
Ukulele
Vocals
Woodwinds (e.g. Clarinet, Saxophone)
Other

What talents can you share with WMMC?

Sound engineeringMarketingSocial MediaCarpentryInstrument RepairBuilding MaintenanceStage ManagementSchedulingGrant WritingFundraisingCommunity OutreachBoard GovernanceEvent ManagementOther

Media Release Form
Date

MonthDayYear
Date
Name of Releasor

First NameLast Name
The Media obtained shall be used for

Video UseEmail blastsNewslettersBrochures or FlyersMagazinesWebsitesOther
Age of Releasee
CONFORME

I, {nameOf9} (hereinafter referred to as "Releasor"), grants permission to Western Montana Musicians' Cooperative (hereinafter referred to as "Releasee"), to use my media (photograph image and/or video footage and/or audio recordings).

I likewise understand that I may be identifiable from the reproduction of the media by the Releasee indicated herein this agreement.

I hereby waive my rights to inspect or approve the media for production that may be used by the Releasee for purposes stated herein, from hereon forward.

I likewise waive any right to royalties or any compensation arising from or related to the use of the image.
Attestation of Legal Age

I certify that I am of legal age and competent to contract in my own name. I have read this release before signing below and I fully understand the contents, terms, and the effect of this release.
Attestation of Parent/Guardian

I am the parent or legal guardian of the named minor in this agreement. I have read this release before signing below, and I fully understand the contents, terms, and the effect of this release.
Signature of Releasor or Releasor's Guardian

Clear
Should be Empty:

Media Release Form