Musicians Registration Form

PH: 800-407-1733

* Indicates required field

Full name please *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Contact Number *

How often can you serve please? *

Once a Month Twice a Month As often as needed Other

What instrument(s) do you play? *

Guitar Bass/Upright Bass Drums/Percussion Keyboard/Piano Horn Instruments String Instruments Violin Other

Skill level with this instrument please? *

Beginner (little to no experience) Moderate Experienced Advanced Professional Other

Your goal please? *

Are you interested in taking lessons? *

Yes No

Please use this section to ask a question or elaborate on any of the information above. Thank you! *

Submit

Destiny House Ministries - Est. 2004