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