REGISTER YOUR BAND Please complete all required fields in the form below.Type “N/A” if the field is not applicable. BAND'S INFO Name of Band * Band's Email * Band's Website http:// Band's Social Media Handle(s) City & State Where Band Is Located * POINT OF CONTACT (POC) Main POC / Band Manager * First Name Last Name Phone * (###) ### #### Email * Secondary POC First Name Last Name Phone (###) ### #### Email BAND MEMBERS Drummer: * First Name Last Name Age * Phone * (###) ### #### Congo: * First Name Last Name Age * Phone * (###) ### #### Roto Toms: * First Name Last Name Age * Phone * (###) ### #### Keyboard 1: * First Name Last Name Age * Phone * (###) ### #### Keyboard 2: * First Name Last Name Age * Phone * (###) ### #### Bass Guitar: * First Name Last Name Age * Phone * (###) ### #### Lead Guitar: * First Name Last Name Age * Phone * (###) ### #### Horn 1: * First Name Last Name Age * Phone * (###) ### #### Horn 2: * First Name Last Name Age * Phone * (###) ### #### Lead Mic: * First Name Last Name Age * Phone * (###) ### #### Second Mic: * First Name Last Name Age * Phone * (###) ### #### Singer 1: * First Name Last Name Age * Phone * (###) ### #### Singer 2: * First Name Last Name Age * Phone * (###) ### #### Sub 1: * First Name Last Name Age * Phone * (###) ### #### Sub 2: * First Name Last Name Age * Phone * (###) ### #### Additional Comments / Details Thank you for registering for Gimme Dat Beat!
