YWCA's 2026 MLK Youth Open Mic Night Competition Registration

YWCA's 2026 MLK Youth Open Mic Night Competition Registration
Participant Information
Participant's Name*

First NameLast Name
Participant Email *
example@example.com
Participant Phone Number*
Please enter a valid phone number.
Participant Age*
Participant Gender*

MaleFemaleNonbinaryOther
Group/School Affiliation*

Group Name

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information

(If participant is under 18)
Name

First NameLast Name
Phone Number
E-mail
example@example.com
Talent Information
Will your talent be you as an individual or you as part of a group?*
If you are part of a group, please list your group members' names and contact information.
What type of talent will you be performing?*
Provide a short description of your performance.*
Do you have any special needs/requests for your performance? (i.e. space needs, lighting, audio/visual, etc.) If yes, please describe.*
Informed Consent and Acknowledgement

I understand that the event may be photographed or recorded for promotional or documentation purposes, and I give consent for the my (the participant's) image, voice, or performance to be used by the YWCA in print, digital, or social media materials.

I acknowledge that participation is voluntary and that the YWCA is not responsible for personal items or any injuries resulting from normal event activities.

I agree to follow all event rules and instructions provided by YWCA staff and volunteers to ensure a safe, respectful environment for all participants.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Participant Signature*

Clear
Participant Guardian Signature

Clear
(Only required if the participant is under age 18)
Should be Empty:

YWCA's 2026 MLK Youth Open Mic Night Competition Registration

Participant Information

Talent Information