Apply to join team Breakaway Carolina!
By applying you are entering for a chance to become either an Influencer or ambassador. By applying you will have a chance to earn tickets and more to the festival!
* Indicates required question
First and Last name *
Your answer
Phone Number *
Your answer
City and State *
Your answer
School/ University
Your answer
Year in School
Your answer
Instagram Profile Handle *
Your answer
Instagram Follower Count *
Your answer
Tik Tok Handle- If applicable
Your answer
Who Recruited you to become a Breakaway Influencer?(Please list name of Person if applicable) *
Your answer
Who is one artist you would love to see at Breakaway?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Prime Social Group.

Does this form look suspicious? Report

Google Forms
Help and feedback
  •  
     
     
    Help Forms improve
  •  
     
     
    Report
Sign in to continue
Cancel
sign in
To fill out this form, you must be signed in. Your identity will remain anonymous.
Report Abuse
Cancel
sign in