Membership Application
American Federation of Musicians of the United States and Canada,   Local No. 11-637  
Sign in to Google to save your progress. Learn more
Professional Name
Legal Name (First, Middle, Last) *
Social Security #
If you prefer to not provide your SSN via this form, please call or visit the LFM Office to provide that info. Your membership cannot be activated without it.
Address *
Street, City, State, Zip Code
Phone *
Include type (cell/home/work/other) and area code
Email Address  
Social Media  (Professional)
Website / YouTube Channel / FaceBook Page
Date of birth (DD/MM/YYYY) *
U.S. Citizen? *
If no, what type of visa do you have?
Where were you born? *
City / State / Country
Who is the closest relative [or other person who will always know your address] not living with you? *
Please write their name, address, and phone number.
Are you currently an AFM member? *
If yes, please write the Local #
Have you ever been a member of any Local of the AFM? *
 If yes, which Local(s)?  How and when was that membership terminated?
Principal instrument(s) *
Other instrument(s) played
Are you currently a member of a musical group?
If yes, what is the name & musical style of the group(s)?
Do you have any agreements with personal manager(s) or booking agent(s)?
If yes, please write the name(s)
Are you a teacher?
If yes, write where and what you teach
Clear form
Never submit passwords through Google Forms.
This form was created inside of Louisville Federation of Musicians. Report Abuse