RESURRECTION SOUL LIBATION OPEN MIC Registration Form

RESURRECTION SOUL LIBATION OPEN MIC Registration Form

July 22, 2026
PEACE, LOVE, AND HAIRGREASE !
I welcome you to this month's edition RESURRECTION SOUL LIBATION Live Band Jam Open Mic Series.

If you'd kindly fill out this 2 minute form that would be AUsomeSAUCE!
Guest /Artist Information

Please fill name and contact information
Your Name

First NameLast Name
Pronouns
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Social Media Handle(s)
How did you hear about Resurrection Soul Libation
Did you bring a guest with you?
The mic is open! Are you performing tonight?
What vibes are you bringing?

Other
***IF YOU HAVE PERFORMANCE TRACKS (s) PLEASE SEND THEM to djafr0delic@gmail.com RIGHT NOW
If you’re jamming with the band please drop drop song title/ chord chart
Guest Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Would you like to be updated about the upcoming events?
By signing this form you agree that your likeness/image/video/ will be used in Resurrection Soul Libation promotional materials. You also agree to assist us in curating the dope vibes here at RESURRECTION SOUL LIBATION. We provide SAFE SPACE for our guests and artists so we ask that you help us to provide SAFE SPACE & showing love and respect to each artists performance and RESPECT THE MIC.

Order some amazing food from the great chefs here at CAPITAL LOUNGE, Support The Vendor(s) & ENJOY THE SHOW!
Signature
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RESURRECTION SOUL LIBATION OPEN MIC Registration Form

Guest /Artist Information