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DMR Adventures Dream Bean Coffeehouse Interest Form
Please fill out this form if you would like to be considered as a performer for a future virtual coffeehouse run by the Youth Leadership Program members of DMR.
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* Indicates required question
E-mail Address
*
Your answer
Performer's Name
*
Your answer
Pronouns
Your answer
Age of Performer (if under 18)
Your answer
Here is the hyper-link to the spreadsheet of ideas if you need it.
https://tinyurl.com/y6dlyvl7
Phone #
*
Your answer
If you are under 18, your parent must give permission. Please list parent name and info.
*
Your answer
Any theme ideas for the next coffeehouse?
*
Your answer
Any Additional Comments?
Your answer
We appreciate your submission and someone will be in touch as soon as we set a date for our next coffeehouse!
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