Friday Night Live Performance Registration Form
2025
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Group/Band Name
# of Members
Performance Type
Please Select
Singer
Poetry / Story Telling
Comedy / Stand-Up
Dramatic / Comedy Interpretation
Rapper
Painter
Dancer
Musician
Select the date(s) you would like to perform
January 31st
May 30th
August 29th
October 31st
Comments
Please define the equipment you require
Submit
Should be Empty: