Poetry Night Sign-Up

Welcome to the Poet Performance Interest Form for our upcoming Poetry Night at Gossip Bar & Lounge. We’re creating a space filled with warmth, creativity, and community — a place where voices rise, stories breathe, and artistry connects us.

Our event will be held at:

5481 Memorial Dr # F Stone Mountain, GA 30083

Date: November 13th

Time: 7:00 PM-10:00 PM

If you’re a poet interested in sharing your work, we’d love to learn more about you. This form will collect your contact information, your comfort level with media recording, and a bit about your poetry experience so we can curate a meaningful and intentional lineup.

Thank you for your interest in performing. We’re excited to hear your voice and welcome you into this creative space.

Full Name

First NameLast Name

Stage Name

If different from Full Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

This event will include photography, videography, and promotional recording. By participating, you consent to the use of your image, voice, and performance for marketing, social media, and future promotional materials for the poetry night.

How long have you been writing poetry?

Have you performed spoken word or poetry live before?

If yes, where have you performed?

Share a sample of your work (paste text or link)

You will have 3-7 minutes to perform your poetry. Are you interested in performing 1 or 2 pieces?

Do you require any special accommodations (music, lighting, props, etc.)?

Are you available for the event date: Friday, October 16, 2026?

Anything else you’d like us to know?