International Live Performance Form

1
Your Full Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Country Code
Area Code
Phone Number
3
Tell us how you heard about us* This field is required.Select one
Please Select
Please Select
BLACMEX website
BLACMEX representative
WhatsApp Group
LinkedIn
Social Media - facebook, Instagram etc
Search Engine
Word of Mouth
Talent Development Program / Organisation
Government Program /Organisation
Music Industry Event
4
At which music industry event did you learn about BLACMEX?* This field is required.Please provide name and date of event.
5
You will be required to provide a URL link or file upload to the advertised event or performance. Would you like to continue now, or later?* This field is required.
CONTINUE NOWLATER, EMAIL ME
6
Please email me this form* This field is required.You will receive an email inviting you to complete this form online when you are ready.
example@example.com
7
Who is submitting ?* This field is required.Please note one submission is required per artist, per performance.
Submitting as self managed music artist
Submitting as the music management to an artist
8
Artist and/or Band Stage Name* This field is required.
9
Please tick the following box to provide BLACMEX consent to process data for administrative and research purposes* This field is required.
Express consent given
10
Gender of Artist* This field is required.If band, majority gender of Artists & Musicians
Male
Female
Transgender
Non Binary
Prefer not to answer
11
Age of Artist* This field is required.
16–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65+
Prefer not to answer
12
Artist Nationality:* This field is required.
Please leave blank if you prefer not to answer.
13
Current country of residence of the Artist* This field is required.Scroll and Select
14
Does the Artist have a diasporic connection and if so which country?* This field is required.
Yes
No
15
Artist diasporic connection | Tell us which country* This field is required.Scroll and Select
16
What ethnicity do you most identify as?* This field is required.
Arab/Arab British
Asian/Asian British - Indian
Asian/Asian British - Pakistani
Asian/Asian British - Bangladeshi
Asian/Asian British - Chinese
Any other South Asian / South Asian British background – please specify under 'other' below
Any other ESEA (East Asian / South East Asian) / ESEA British background – please specify under 'other' below
Black/Black British - African
Black/Black British - Caribbean
Any other Black/African/Caribbean background – please specify under 'other' below
Mixed/Multiple ethnic groups - White and Black Caribbean
Mixed/Multiple ethnic groups - White and Black African
Mixed/Multiple ethnic groups - White and South Asian
Mixed/Multiple ethnic groups - White and East Asian/Southeast Asian
Any other Mixed/Multiple ethnic background – please specify under 'other' below
White - English/Welsh/Scottish/Northern Irish/British
White - Irish
White - Gypsy or Irish Traveller
Any other White background – please specify under 'other' below
Prefer not to say
Other (please specify)
17
Root Genre* This field is required.Scroll and Select
Please Select
Please Select
Caribbean
Christian/ Gospel
Classical
Electronic
Folk/Traditional
Hip Hop
Jazz
Latin Music
Pop
R&B / Soul
Rock/Metal
18
Electronic Genres* This field is required.Scroll and Select
3Step
Amapiano
EDM
Dance
Drum & Bass
Grime
House
Jungle
UK Garage
Techno
Other
19
Caribbean Genres* This field is required.Scroll and Select
Calypso
Dub
Lovers Rock
Reggae
Reggaeton
Reggae Fusion
Roots Reggae
Ska
Soca
Steel Pan
UK Dancehall
Other
20
Pop Genres* This field is required.Scroll and Select
Afrobeats
Dance pop
French pop
German pop
Indie pop
Latin pop
Other
21
Christian/ Gospel Genres* This field is required.Scroll and Select
CCM
Classic Christian
Contemporary Gospel
Christian Grime
Christian Pop/Folk
Christian Rap
Christian Rock
Gospel Afrobeat
Gospel Modern
Gospel R&B/Soul
Gospel Reggae
Praise & Worship
Traditional Gospel
Other
22
Hip Hop Genres* This field is required.Scroll and Select
Alternative Hip Hop
Grime
Road Rap
Trap
UK Hip Hop
UK Drill hip hop
Other
23
R&B Genres* This field is required.Scroll and Select
Afrobeat
Alternative R&B
British Soul
Disco
Funk
Indie R&B
Neo soul
Soul
Other
24
Latin Music Genres* This field is required.Scroll and Select
Bachata
Bossa Nova
Brazilian Gospel
Corrido
Kizomba
Latin Afrobeat
Latin Alternative
Musica Mexicana
Pop Llamenco
Reggaeton
Salsa
Trap Brasileiro
Trap Latino
Tropical
Urbano Latino
Zouk
Other
25
Rock/Metal Genres* This field is required.Scroll and Select
Alternative Metal
Alternative Rock
Country Rock
Funk Metal
Groove Metal
Grunge
Indie Rock
Latin Rock
Pop Rock
Punk
Rap Metal
Speed Metal
Skate Punk
Other
26
Folk/Traditional Genres* This field is required.Scroll and Select
3Step
Acoustic
Afrobeat
Afrofusion
Congolese Rumba
Countrygaze
Dutch Indie
Fuji
Gqom
High Life
Indie Folk
Jaiva
Jùjú
Kizomba
Makossa
Mbalax
Mbube
Ndombolo
Pop Folk /Singer-Songwriter
Soukous
Taarab
Township Music
Other
27
Classical Genres* This field is required.Scroll and Select
Baroque
Compositional Ambient
Classical Choral & Voice
Contemporary Classical
Classical Instrument
Classical Era
Experimental
Impressionism
Modern classical
Neo-Classical
Opera
Renaissance
Romantic
Other
28
Jazz Genres* This field is required.Scroll and Select
Acid Jazz
Bossa Nova
Contemporary Vocal Jazz
Jazz Funk
Jazz Fusion
Jazz Guitar
Jazz Piano
Latin Jazz
Smooth Jazz
UK Contemporary Jazz
Other
29
Date of Performance* This field is required.
Date
Day
Month
Year
30
Tell us which country the performance took place* This field is required.Scroll and Select
31
Type of Venue* This field is required.The estimated attendance in venue on the performed night
Church event or conference
Concert Hall
Conference Centre
Community Centre
Club
Festival
Hotel
Pub
Showcase
Stage show
TV/Media performance
Other
32
Name of Venue* This field is required.Start typing the name of the venue to begin search
Street Address
Street Address Line 2
City
County /State / Province
Postcode / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
33
Venue Capacity* This field is required.The estimated attendance in venue on the performed night
Under 100
100-400
500-1000
1000-3000
4000-10,000
10,000+
34
What is local ticket currency?* This field is required.
35
Cost of Ticket - Range* This field is required.
36
What format will you be using to submit your advertised event or recorded performance?* This field is required.Please select the format you will be submitting
Artists, BandsInTown Website (URL)
Event or Box Office Website (URL)
Dropbox / Cloud Storage (URL)
Media Review (URL)
Live Performance Photos (URL)
Social Media page (URL)
YouTube or Vimeo (URL)
Upload Flyer / Ticket / Social Media Assets (max.file size 10.6MB)
Other
37
Please submit the URL to your advertised event or recorded performance.* This field is required.Copy & paste URL evidence below
38
Upload Flyer / Ticket or Social Media Assets * This field is required. Upload your performance evidence.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
39
Provide a link to the artist profile DSP account(s).* This field is required.Example. URL link for Spotify, Apple Music, Ditto, YouTube etc or Link Tree
40
How much of the agreed performance fee was paid ?* This field is required.
Free Performance (as agreed)
Covered Expenses Only (as agreed)
Below 50% (less than half of the agreed fee)
50% (only half of the agreed fee)
60-100% (more than half to all of the agreed fee)
Performance Unpaid
Other
41
Did you receive grant or sponsorship towards this performance?* This field is required.
No grant funding received
Yes, I have received grant funding
Yes, I have received support from a sponsor
42
Useful informationPlease provide any useful information or leave blank and submit
43
Management or Artists email address* This field is required.Please respond to the verification code sent to your inbox. This is done to ensure we have the correct email address for you.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
44
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