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Club Membership
Yearly Membership $250.00+tax
Renewals $175.00+tax (valid 30 days past your exp date)

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* Check the reason why you're completing this application:
I'm considering becoming a new member
I'd like to renew my membership
I'm a current member updating my profile
Contact Info (not Published):
Member ID (current members)
* Name
* Address
* City/State/Zip
     
Phone
  Home:   Cell:   Work:
* Email Address
* Preferred Contact
Home Cell Work Email
Gender
Male Female
Birthday
Instruments
Please list the instruments that you play, starting with your primary instrument
(for this answer, consider "Vocals" an instrument).

Next to each instrument, please indicate your level on each instrument on a scale of 1-5 where 1 is Beginner and 5 is Expert (including half-points: 1.5, 2.5, etc.).
  Instrument Level (1-5)
1st
2nd
3rd
Other
Other
Style Preferences
Please list your favorite styles of music to play, starting with your most favorite style. Choose from the following list:

Alternative, Bluegrass, Blues, Cabaret, Cajun, Classical, Country, Electronica, Ethnic, Folk, Funk, Fusion, Gospel, Hip Hop, Jazz, Klezmer, Latin, Metal, Pop, R & B, Reggae, Religious, Rock, Ska, World, Free Style, Disco
  Style
1st
2nd
3rd
4th
5th
Influences
Who are your top 5 musical influences (in terms of artists)?
  Influences
1st
2nd
3rd
4th
5th
Additional Information
Have you been in a band? Yes No
Can you lead a band? Yes No
Do you read music? Yes No
How well do you read music (1-5)?
Do you play original music? Yes No
Do you write original music? Yes No
When would you be available for rehearsal?
  Weekday Days? Yes No
  Weekday Evenings? Yes No
  Weekend Days? Yes No
  Weekend Evenings? Yes No
During the most musically active years of your life, how often were you on stage?
Over the past 2 years, how often have you been on stage?
Previous Musical Experience
    
Current Music Projects
Please describe all music projects in which you are currently involved, including the group's name, style played, instrument you play, rehearsal schedule, goals (jamming only, occasional gigs, wedding band, etc.)
    
Cover Band Preferences
If you could be in a cover band, which 3 bands would you be interested in covering?
    1.  
    2.  
    3.  
Your Dream Band
Please describe the kind of project you would most like to be in. Be sure to include the style (rock, blues, jazz, etc.), whether you want to do covers and originals (if covers -- whose? if originals -- whose?), the instrument/vocalist lineup you envision, what your role will be (bandleader, lead or backup vocalist, lead guitarist, other player), the goal of the band (one show, ongoing, just jamming), and your ideal rehearsal schedule (weekdays or weekends, days or evenings).
    
What are your musical goals? (Check all that apply)
     1. Jamming
     2. Joining a band for a performance night
     3. Joining a band for multiple performances
     4. Having my band play in one or more Performance Nights
     5. Finding replacement players for my band
     6. Trying new styles
     7. Finding a teacher
     8. Learning a new instrument
     9. Recording a CD
     10. Other
    
How did you hear about us?
Are you receiving our weekly emails? Yes No

Thank you so much for taking the time to provide this valuable information!

Memberships are non-transferable & non-refundable.