Musik-Brücken Registration 2020
To request to attend the 2020 MB Conference in Austria
Email address *
Last Name *
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First Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode (Mailing Code)
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Telephone: Country Code + (123-456-7890) *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Year in School if Student
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Other: What are your talents (visual artist, teacher, engineer, dancer, etc.)
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What describes me: *
Required
If Musician: Instrument (i.e.. voice - soprano, trumpet)
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Name of Group: If you are traveling with a group
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Church: Name of Church you attend *
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Reference: Pastor or Church Leader's Name and Email / Phone for Reference *
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Emergency Contact Info: Person to contact and their telephone number *
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Medical Conditions, Allergies, Special Requests:
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I have read the MB Beliefs (download on Info & Registration page): *
Please explain any disagreements you have with the MB Beliefs below:
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Additional Comments for MB Staff:
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