MAMA Cares Madison Musician COVID Relief Effort Application

Your Legal Name:
Performer Name (if different):
Band Name (if applicable):
Address:
City:
State:
Zip Code:
Email Address:
Phone #:
Number of dependent children:
Average # of paying gigs per month in last 12 months:
Your Primary Genre:
Are you unemployed?
Current Unemployment $ per month (not including $600 stimulus):
Working Spouse or Partner?
Other Monthly Income (wages, etc. other than gigs):
Prominent Madison music reference - Name:
Prominent Madison music reference - Email:
Prominent Madison music reference - Phone #:
 

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