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Musik-Brücken Registration 2022
To request to attend the 2022 MB Conference in Austria
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zipcode (Mailing Code)
Your answer
Telephone: Country Code + (123-456-7890)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Year in School if Student
Your answer
Other: What are your talents (visual artist, teacher, engineer, dancer, etc.)
Your answer
What describes me:
*
Professional Artist (Musician, Dancer, or Visual Artist)
Amateur Musician, Dancer, or Visual Artist
Professional Teacher
Someone who just likes to teach and interact with children
Friend or Family of Conference Attendee
Wishing to just be a part of the MB community living out the Gospel in relationships
Required
If Musician: Instrument (i.e.. voice - soprano, trumpet)
Your answer
Name of Group: If you are traveling with a group
Your answer
Church: Name of Church you attend
*
Your answer
Reference: Pastor or Church Leader's Name and Email / Phone for Reference
*
Your answer
Emergency Contact Info: Person to contact and their telephone number
*
Your answer
Medical Conditions, Allergies, Special Requests:
Your answer
I have read the MB Beliefs (download on Info & Registration page):
*
I agree with them
I do not completely agree with MB's beliefs - noted below
Please explain any disagreements you have with the MB Beliefs:
Your answer
Additional Comments for MB Staff:
Your answer
Send me a copy of my responses.
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