Barley & Vine: Open Mic Sign up
You will be contacted when we have receive your information. Our team will follow up with you to confirm your time slot & you will be notified 7days prior to our event.
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Are you over 18?
Yes
No
Where did you hear about us?
Please Select
Advertisement
Social Media
Barley Team Member
From A Friend
Other
Type of Act
Piano Piece, Original Song, Poem, Spoken Word, Etc.
If you are not performing solo, how many members are in your Group?
i.e. 1 or 8
Any special message or additional info you'd like us to know
Submit Form
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