MIC CHECK Registration Form
Thank you for filling out this form so we can show respect and appreciation for you attending and support. Please be aware that your image and likeness may be used for promotional purposes and future events.
Name
First Name
Last name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Stage Name
# of Members
Performance Type
Please Select
Original Music
Cover Music
Rap
Poetry
Story Telling
Magic
Comedy / Stand-Up
Dramatic / Comedy Interpretation
Dance
Instrumental
Other
Bio 2 or 3 sentences
Social Media Handles
Have you performed at open mics before?
Please Select
yes
no
Would you like to be contacted for future events?
Please Select
yes
no
Song you want to come out on
Performance Date of Choice
-
Month
-
Day
Year
Date
Are you open to a preshow interview?
In person
Virtual
No interested
Date
-
Month
-
Day
Year
Date
Dont forget to follow us on FaceBook to stay up to date on the happenings at MIC CHECK!
Submit
Should be Empty: