Registration- Band Supporter
How It Works: Women, trans and nonbinary folks (ages 19+) will use this nifty registration form to sign up to participate as a band supporter in Rock n Roulette. SR2 staff members will be placing everyone who registers as musicians into bands based off of location, genre/music preferences, etc. Some bands will also get band supporters like YOU! Your role as a Band Supporter is to fundraise on behalf of the band and support and encourage the band's fundraising efforts. Each band will have a $1,000 fundraising goal. The information provided in your registration helps us to put you with 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 with a band that isn't on the other side of the cities from you!
How far are you able/willing to travel for band meetings?
Do you have a space that can host your band's practices?
Yes
No
Other Information!
Please tell us why you would like to be a band supporter.
*
Please tell us about any fundraising experience you have.
*
Are you willing to "manage" the band by holding them accountable to deadlines, fundraising responsibilities, etc?
*
Yes
No
Other
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 work with a band to fundraise for She Rock She Rock.
*
I agree that I am 19 years or older.
*
I agree that I will be at the showcase at Part Wolf on Saturday, November 16th.
*
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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