Port Fairy Jazz Festival 8th to 10th Feb 2019 - Musician Registration
Note: Following completion, you will receive an email containing the complete contents of this form - including your responses and our instructions.
Email address *
First Name *
Your answer
Surname *
Your answer
Nickname
Your answer
Preferred Badge Name *
Normally your first or nickname
Your answer
Phone number (while at festival) *
Your answer
Alternate phone number
Your answer
Address Line 1
eg. PO Box number or street address
Your answer
Town or Suburb
Your answer
Postcode *
Your answer
Instruments Played *
Separate with commas, Include "vocals" if applicable.
Your answer
Nominated Bands
Indicate below the bands you intend to perform with (maximum 3)
Band 1 *
Your answer
Band 2
Your answer
Band 3
Your answer
Disbursements *
In the event a disbursement to musicians is available, Big Band's (bands with more than 8 members) disbursements are paid to an account nominated by the band leader. All other disbusements are paid to the musician's nominated bank account. Consequently we need to know whether or not you will play ONLY in Big Bands at our festival. Please tell us if you are:
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