Revolutionary Sign Up Form

1
Name* This field is required.
2
Email* This field is required.we'll contact you here if you're selected to perform.
example@example.com
3
Your Revolutionary Act* This field is required.What are you hoping to bring to the night?
Please Select
Please Select
Spoken Word / Poetry
Live Music / Instrumental
Storytelling
Movement / Dance
Comedy / Satire
Other (please describe below)
4
Other, Please Describe
5
Describe Your PieceBriefly tell us about what you want to present — your message, mood, or vibe (2–3 sentences)
6
Phone Number
Area Code
Phone Number
7
Comments/Q'sAnything else you’d like us to know?
Should be Empty: