UAMS Midsouth Black Expo Entertainment Application
Interested in performing? Fill out this form, and a member of our team will follow up with you. Please note that submitting an application does not guarantee a performance slot. This is a free event, and all performers volunteer their time to support the community.
Primary Performers Name
First Name
Last Name
Group Name, if Applicable. If not applicable place a N/A in the box.
City
*
State
*
Please Select
Georgia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Type of performer (Click all that apply to your performance)
Singer
Rapper
Dancer
Instrumental Band
Painter
Poet
Comedian
Other
Please share what you'd like to perform. Performers get a maximum of 10 mins on stage.
Do you have a website that showcases your work? (Website, Youtube, etc)
Phone Number
*
E-mail
*
Confirmation Email
example@example.com
Please Upload Headshot and/or Logo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
I have verfied that all information provided is accurate. and complete
*
Yes
Enter the message as it's shown
*
Signature
Submit
Should be Empty: