MAD House Music Sign-Up
Interested in performing on the MAD Music Stage? Fill out and submit the form below and come ready to play!
Email address
What is your name and email address/phone number?
Your answer
What is the name of your band/performance?
Your answer
List the name(s) of the performer(s)
Your answer
What type of performance are you planning to do? (check all that apply)
Required
If you selected "other," please explain.
Your answer
Please describe the instruments you will be bringing with you for your performance. Please let us know if they would need to be mic'd or have an input built in. If no instruments are being used, just write "none."
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Portagefreemethodist.com. Report Abuse - Terms of Service - Additional Terms