Youth Empowerment Gala + Art Show
Please complete the following form for consideration in our Youth Empowerment Gala + Art Show - we will follow up with additional information!
Name
*
First Name
Last Name
Age
*
Pronouns
Please Select
He/Him
She/Her
They/Them
Phone Number
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Please enter a valid phone number.
Email
*
example@example.com
Parent/Guardian Name & Contact Info (if under 18)
School/Organization Affiliated With
*
What role are you interested in?
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Visual Artist
Performer (music, dance, spoken word, etc)
Vendor
Speaker
Volunteer
Sponsor
Other
Tell us more about what you'd like to contribute or share at the event (art form, performance type, vending product, etc.)
*
Share your social media or website (optional)
Upload Your Samples: Please upload music samples, performance videos, or poetry readings to give us a better sense of your style and performance. Upload music or video fileUpload photo for promotional use
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Do you have any special needs, accommodations, or dietarty restrictions?
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Are you open to being featured on event marketing or social media?
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Yes
No
Anything Else We Should Know?!
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