Registration Form For Musicians
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Type of Music (click all that apply)
Oldies
Standards (Great American Songbook)
Folk (including bluegrass and Americana)
Jazz (including dixieland and bossa nova)
Rock
Pop
World (Irish, Klezmer), Polish, Italian, etc)
Country
Other
Provide Futher Details About Yourself, Including Your Performance History As Well As the Music You Play
Rmuneration Options
pro-bono (free)
expenses only
reduced rate
Other
Please Elaborate
*
Will You Be Performing By Yourself Or With Others?
by myself
with others
Other
Details
Equipment Needs
I have my own PA system or amplification
I don't have a PA system or ampification
I have my own mics/stands
I don't have my own mics/stands
Other
General Availability -- Tmes/Days
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References (optional)
Rows
Name
Organization
Contact info
1
2
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