2012 Battle of Birdy's

Requirements
All band members must be at least 18.
A minimum of 50% of the band must be at least 21.
A minimum of 50% of the band must reside in Indiana.

Bold Information is Mandatory
Band Information
Artist/Band Name  
Genre  
Website  
Facebook  
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Referred By
Name  
E-mail  
     
Primary Contact Information
First Name  
Last Name  
Address  
Address 2  
City  
State  
Zip  
Phone  
Cell  
E-Mail  
     
Secondary Contact Information
First Name  
Last Name  
Phone  
Cell  
E-Mail  
     
Band Member Information
Member 1  
Over 21  
Location  
Member 2  
Over 21  
Location  
Member 2  
Over 21  
Location  
Member 2  
Over 21  
Location  
Member 2  
Over 21  
Location  
     
Questions/Additional Information