Rock n Roulette Registration
How It Works: Musicians who identify as female, gender non-binary and trans will use this nifty registration form to sign up to participate in Rock n Roulette. SR2 staff members will then place everyone who registers into bands based off of location, genre/music preferences, etc. You will then get about seven weeks to write up to two original songs and one cover song! You will also fundraise for She Rock She Rock! Each band will get their own fundraising page with the goal to raise $1,000! The information provided in your registration helps us to put you in a band that we think will suit you best! Please be honest with all of your answers!
Basic Information!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Location Information!
So we can put you in a band that isn't on the other side of the cities from you!
Do you have a space that can host your band's practices?
*
Yes
No
How far are you able/willing to travel to go to band practice?
When (days/times) would you be typically available for practice?
*
This is one of the most critical pieces of information so please be super descriptive!
Is there anything else we should know about your ability to get to practice?
Music Information!
So we can make sure you are in a band that doesn't have 5 bass players who all like different genres of music!
Instrument(s) You Want to Play
*
Guitar
Bass
Drums
Keyboards
Other
What kind of music do you like/do you want to play in your band?
*
Please describe your musical experience
*
Will you need to borrow equipment/gear from She Rock?
*
Yes
No
Please describe what equipment you may need to borrow from She Rock She Rock
Is there anything else you'd like us to consider when we are placing you into your band?
How to prefer to communicate with your band members?
Text
Email
Phone Call
Other
*
I understand that my role is to not only participate in a band, but to fundraise for She Rock She Rock.
*
I agree that I am 18 years of age or older.
*
I agree that I will be at 7th Street Entry on November 11th from 3:30-10:30pm.
*
I agree to be an active band member by attending a minimum of 90% of the band practices.
*
I grant permission to SR2 to use images of me from Rock n Roulette. Use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of me for use in materials that include, but may not be limited to printed materials such as brochures and newsletters, videos, and digital images such as those on the She Rock She Rock website. I give unrestricted permission for my image to be used in print, video, and digital media. I agree that these images may be used by She Rock She Rock for a variety of purposes and that these images may be used without further notifying me. I do understand that my last name will not be used in conjunction with any video or digital images.
Submit
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