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Open Stage Registration Form
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* Indicates required question
Name of person submitting this form
*
Enter your name
Your answer
Address
Enter your address
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Phone Number
Enter your phone number
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Email
Enter your email address
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Name of your group/band
Enter the name of your group/band
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Name of the members of your group/band
*
Enter the name of members of your group/band
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First Choice for Stage Times (20 to 30-minute time slots within this window)
*
12:00 pm – 2:00 pm
2:00 pm – 4:00 pm
4:00 pm – 6:00 pm
6:00 pm - 8:00 pm
Mark your Second Choice for Stage Time
12:00 pm – 2:00 pm
2:00 pm – 4:00 pm
4:00 pm – 6:00 pm
6:00 pm - 8:00 pm
Clear selection
Mark your 3rd choice for stage time
12:00 pm – 2:00 pm
2:00 pm – 4:00 pm
4:00 pm – 6:00 pm
6:00 pm - 8:00 pm
Clear selection
Comments, if any
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