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Musician Registration Form

Instrument you play (primary):

Instrument you play (secondary):

Events you feel comfortable playing for:
(you can select multiple events or "All Events")

At-Home Concert Corporate Convention Romantic Dinner
Baptism  Engagement Party Surprise Party
Baby Shower  Anniversary Event Sweet Sixteen Party
Bar Mitzvah  Family Reunion School Event
Bat Mitzvah Fashion Show Store-Music (strolling/stationed)
Birthday Fundraising Valentine's Dinner
Business Opening Funeral Wedding Cocktail Reception
Business Luncheon  Holiday Buffet  Wedding Dinner Reception
Church Event  Holiday Music Wedding Ceremony
College Event  Hotel Brunch/Tea/Dinner All Events
Corporate Event Mall-Music (strolling/stationed)
Corporate Trade Show  Public Event 

Other Event: (Please explain in the box below)

If you are a group leader, what kind of group/s can you provide:

Barbershop Quartet Solo Accordion Tuba-Old Time Strolling Groups
Brass Group Solo/Strolling Violinist Woodwind group
Carolers-Holiday String Duo All Groups
Renaissance/Baroque Era Performers String Trio 
Solo Guitarist String Quartet

Other Groups: (Please explain in the box below)

What style/s of music can you play:

Classical Jewish  Pop Tunes
Broadway Show Tunes Latin American Music Showtunes
Dixieland Lounge Favorites Standard Jazz
Flamenco (Spanish) Mariachi (Mexican) Swing 
Greek New-Age Jazz Tango (Argentina) 
Irish Oldies A mix of popular favorites from classical to pop
Italian  Polish All Styles

List in the box below any other mixes or styles of music including Ethnic/International Styles not listed above:

Please select the skill/s that apply to you:
Good Sight-reading    Read & Write Music   Read & Write Charts
Transcribe      Arrange      Compose      MIDI Programming

Other Skills: (Please explain in the box below)


What equipment do you have:
P/A System   Wireless System   Keyboard    Stage Lighting

Other Equipment: (Please explain in the box below)

Do you have reliable transportation:
Yes  No  Could Rent

First Name: (required)
Last Name: (required)
Stage Name:
Group/Band Name:
Date of Birth:
Address:
City:
State:    Zip:
Country:
Telephone Numbers: (required)
Fax Number:
Email: (required)
Web Site:
Promotional Materials:
References:

If requested, to whom do you want us to release your contact information:
Other Music Professionals    Other Agencies    Keep It Confidential

Comments:

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