Student Open Mic Registration 🎤
Please fill out your details to register for the first Uxbridge community Upper Elementary and Secondary grades Open Mic event at the Uxbridge Youth Centre on Friday 25th September @6pm.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Contact Number (parent/guardian's if under 16)
*
Please enter a valid phone number.
Format: (000) 000-0000.
What grade are you in?
*
Please Select
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
What school do you attend?
*
Are you a soloist or a group?
Soloist
Group
What instrument will you be performing on?
Please Select
Guitar
Piano/Keyboard
Drums
Voice
Violin
Other
Interested in helping out
Please tell us about your act/ song(s) you will be performing.
Are you interested in helping out with any of the following roles during the event? (Select all that apply)
Meet and Greet
Technical (Sound/Lights)
Photography/Video Recording
Selling Snacks
Production management
Music planning and selection
Stage manager
MC
Other
Are you currently registered with the Uxbridge Youth Centre?
Yes
No
Sign up form to be considered for future events assistance.
Would you like to assist with future volunteer roles for music events such as promotion, graphic design, and technical production in return for volunteer hours?
Promotion
Graphic Design
Technical Production
Music planning
Event production
Other
Are you interested in joining the youth advisory board to help plan future events at the Uxbridge Youth Centre?
Yes
No
Maybe
I confirm I have had the consent of my parent/guardian to participate in this event and acknowledge that I am responsible for ensuring I arrive on time and follow the safety and behaviour policy at the Youth Centre during my time there.
*
Tick here
I give consent for any photos captured during the event to be featured in social media or other promotional material relating to the UYC activities. You are able to reverse this consent in the future by letting the UYC know directly.
*
Yes
No
Register
Should be Empty: