Musician Application Form

This information is requested so that we can communicate with you and to reduce the level of spam. Any personal information you provide to us will not be shared.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your performance name. i.e. band name, or performance alias... *

One-line description of Band (example: Folk/Jazz Power Trio) *

What is your musical style? I know...this can be difficult, but give it your best shot.... *

If you do not have a professionally written and edited biography, would you be interested in us helping you? *

Yes No thank you

List of Band Member’s names and their Instruments (We need to know who and what is coming through the door): *

Do you primarily perform original music that you wrote / composed? *

I / we write and perform original music I / we perform covers of music written by others I / we do a mixture of both, but mostly original I / we do a mixture of both, but mostly covers.

Other Web pages such as My Space and YouTube, etc.: *

If you do not have a professional live off the floor video, would you be interested in Mossy Gatherings providing this for you as a partial payment in kind? *

Yes No

How often do you perform live? *

Daily Several shows weekly A few times a month A few times a year

Achievements/Tours/Awards, etc (Brag a little!): *

Musician/Band’s Suggested Fee for a House Concert (35 seats): *

Musician/Band’s Suggested Fee for Larger Venue (40-200): *

Among your band mates, are there any dietary limitations, restrictions, and allergies (for hosting purposes): *

Are you willing to be billeted in private homes instead of hotels for lodging? (This may cut expenses on our end meaning that you may earn more): *

Would you need us to provide equipment such as a drum kit, amplifiers, etc.? We do have a PA system: *

We are interested to know if you have any charities or social justice interests that you are involved in with your music. *

You have completed this application form. Congratulation! You have great patience. Is there anything else you would like us to know? *