Name
*
First Name
Last Name
Stage Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please give a description of the type of performance you will be showcasing.
*
Please insert link of a past performance
*
Social media page
*
Please Register for a Performance Time
*
*
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10 Minute Performance Donation
This is a donation towards the stage, host, and Dj. This donation will also hold your performance space
$
25.00
Quantity
1
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10
Submit
Should be Empty: