Austin Bass Workshop Registration
First Name *
Your answer
Last Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Phone Number *
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Email Address *
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Address *
House Number, Street, and Apt. number if applicable
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City *
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State
If you live outside the states, then don't answer
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Country *
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Number of years playing the bass *
Your answer
Second Email Address
Not Required
Your answer
Age *
Parent / Guardian Name
If under 18 years of age
Your answer
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