Name *

First Name

Last Name

Phone Number *

(###)

###

####

Instrument *

Select All That Apply

Male Vocal

Female Vocal

Acoustic Guitar

Electric Guitar

Bass Guitar

Drums

Keys (Piano, Keyboard)

Other (please describe in comment section below)

Commitment Level *

How Often Would You Like to Be Scheduled? Select All that Apply

Every Week

Twice A Month

Once A Month

On Call (Fill In)