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