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Performer Registration Form
Please complete one form per performer/act. If you are a group only one form is needed on behalf of the group.
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* Indicates required question
Event date you would like to register for?
*
March 13, 2020
Required
Please read and acknowledge each of the below Disclaimers:
*
This is an outreach of Community Life World Outreach Center located on its premise and is a family environment.
No alcohol, drugs or paraphernalia of the like are allowed on the premises nor inside the building
All content performed must be conducive for a family environment.
Security and/or local Law Enforcement will be on hand at all Word! events.
No merchandise, goods or services are to be sold on premises.
No exchanges of money or digital payments on premises between guests and performers.
At the discretion of the host guest performances can be cut short or cancelled if the aforementioned is not upheld by the performer.
By checking the above boxes I am acknowledging I have read and will adhere to the above.
Required
List your full name and/or those in your group.
*
Your answer
Please provide an email address where we can followup with you.
*
Your answer
Act Name (as you want to be announced)
*
Your answer
Select the genre of music or performance type.
*
Rap/Trap
Jazz
Instrument
Spoken Word
Singing/Song
Dance/Praise Dance
Comedy
Acting/Play (short story)
Country/Blue Grass
Hip-Hop
Other:
Required
Will you provide your own music?
*
No
Yes
Undecided
What is your Instagram handle?
Your answer
What is your Facebook handle?
Your answer
What is your Twitter handle?
Your answer
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