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Artist Registration
To register as an artist, please take the time to fill out the information below.
First Name
Last Name
Email
Mobile
Address
Town
Postcode
Region
What region are you from?
Gascoyne
Goldfields-Esperance
Great Southern
Kimberley
Mid-West
Peel
Pilbara
South West
Wheatbelt
Interstate
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What is your age range?
Choose your age
Under 18
18 - 24
25 - 34
35 - 44
55 - 64
65+
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Company Name
What is your gender
Choose an option
Male
Female
Other
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Do you identify as Aboriginal or Torres Strait Islander?
Choose an option
Yes
No
Prefer not to say
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Are you a member of the Country Music Club of Boyup Brook?
Choose an option
Yes
No
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