MUSICIAN APPLICATION FORM

Please complete this form to join this year's Fort Clark Days. Thank you!

Name of Music Group:

Your First Name

Your Last Name

Your Phone Number

Your Email

Address

How many are in your group?

Email for another contact within your group:

If you are registering a group, please list all attending members in the box below:

Please briefly describe the music you will be playing and if you represent a particular time period:

Will this be your first time at Fort Clark Days?

Yes

No

Dimensions of the space you need:

Location Preference (if any):

Which days will you be performing?

Friday Only (School Day)

Saturday Only

Both Friday & Saturday

Stipend Request (Very Limited Availability) Please enter a dollar amount:

Housing Request

Private Housing (FCD Committee will place you in a private home.)

Motel (Please Note: If you make your own arrangement for the Motel, you are responsible for the cost.)

RV Park

Campground

Sleeping in Living History Area

No Housing Needed (Day Trip)

Additional Comments (Is there anything else we need to know?)

Musicians