Lip Sync Battle Registration

1

2

Name* This field is required.

First Name

Last Name

3

E-mail* This field is required.

4

Cell Phone* This field is required.

Area Code

Phone Number

5

What is your preferred method of contact?* This field is required.

Email

Cell Phone

Text via Cell Phone

6

I am over 18 years of age...* This field is required.

YESNO

7

Are you the Primary Contact for Lip Sync Battle?* This field is required.

Yes

No

8

If you aren't the Primary Contact, who is?

First Name

Last Name

9

What is the email address of the Primary Contact?

example@example.com

10

What is the phone number of the Primary Contact?

Area Code

Phone Number

11

Team Name

Not required...but if you have a team name, include it!

12

I'm/We're registering as a:* This field is required.

Solo Act

Duet/Duo

Trio/Quartet

Group of 5 or more

13

In case of an emergency, who should we contact?* This field is required.

First Name

Last Name

14

What is your relationship to your emergency contact?* This field is required.

15

What is the phone number of your emergency contact?* This field is required.

Area Code

Phone Number

16

If you are NOT 18 years old, please fill out the attached youth registration form, and return it to: BeckRidge Productions, 40525 Koppernick Road, Canton, MI 48187.

17

You will be asked to update the list of performers as we draw near the battle!

18

Please provide the first and last names of others who will be joining you on stage:

If your team isn't complete yet, don't worry!

19

First Song Choice* This field is required.

Include Song Title and Artist/Group

20

We just want to hear the song by the artist/group you have selected. You will provide a final edited version just prior to the battle!.

21

Upload an mp3 of your First Song Choice* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

This DOES NOT need to be edited to the 4 minute time constraint

22

Back Up Song Choice* This field is required.

Include Song Title and Artist/Group

23

We just want to hear the song by the artist/group you have selected. You will provide a final edited version just prior to the battle!.

24

Upload an mp3 of your Back Up Song Choice* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

This DOES NOT need to be edited to the 4 minute time constraint

25

Waiver* This field is required.

26

Comments