Louisiana Musical Showcase Stage Registration Form
Name of Participant
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Other
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Description of your music
Have you demonstrated your music somewhere before?
Yes
No
If yes, please explain here
Do you need special equipment to make your show happen?
Yes
No
If you need it, write down these equipment.
Have you been on any TV or Radio before?
Yes
No
If yes, please give the name of the TV or Radio Station.
Why do you want to participate in this line up
Please write down the most important events in your life
What's the most interesting thing you can tell about yourself?
Music Clip
*
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Photo / Band Photo
*
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Video
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I hereby consent to the storing, processing and transferring all or part of all or part of the visual and audio output I have given while filling this Application Form for use in advertising for the 2026 Louisiana Red Beans & Rice Heritage and Musical Festival and related companies of chosen to be apart of the music line up.
Signature
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