Application to DWFB Membership
Form to complete for those interested in possibly joining the DWFB
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zipcode *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
E-mail address
Your answer
Emergency Contact and Phone *
Your answer
Major Instrument *
Your answer
Other Instruments Played
Your answer
Occupation
Your answer
Birthdate *
MM
/
DD
/
YYYY
How long have you played your major instrument? *
Your answer
How long since you have played your major instrument? *
Your answer
Are you interested in joining the Desert Winds Freedom Band? *
How did you hear about the band?
Your answer
Any additional comments or questions?
Your answer
Submit
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