REGISTRATION FORM

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Full Name (Required)

Date (Required)

Gender (Required)

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Address (Required)

City (Required)

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Country (Required)

Cellphone (Required)

Landline

Email Address (Required)

DOB (Required)

Occupation (Required)

How Long (Required)

Do you play an instrument(s), and if so, what, and for how long (Required):

Music education, and experiences (jobs, bands, gigs, etc.) to date (Required):

On a scale of 1-­‐10, how would you rate yourself (be honest) (Required)

Musician

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Music Writer
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Lyricist

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Recording Engineer

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Programmer

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