Derby Dishes: Entertainment submission
Please provide details of your skills, talents or activity to entertain at the upcoming community meal. Please note this will be a small performance area at a sit down meal.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Type of Talent or Skill
*
Please Select
Singing
Dancing
Magic
Instrumental Music
Comedy/Stand-up
Poetry/spoken word
Activity/demonstration/workshop
Other
Describe Your Act
*
Why would you like to perform at/take part in Derby Dishes?
*
What technical /equipment do you need us to provide?
*
What equipment will you bring?
*
Please upload a video of you/your group performing
Upload a File
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Choose a file
Cancel
of
Please upload any photos of you/your group
Browse Files
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of
Please add any links to social media or website
How many people are in your group
*
How many people are under the age of 18
*
I confirm that if I have participants under the age of 18 they will be supervised at all times by a suitable parent, guardian or licenced chaperone.
Yes
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