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Name
*
Your answer
Stage/Band Name
Your answer
Pronouns
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Email
*
We will NEVER sell your information.
Your answer
Phone
*
Your answer
Do we have permission to text you at this number?
*
Yes
No
What type of entertainment do you provide or what do you specialize in speaking about?
*
Your answer
Do we have your permission to use photos taken of you at the event on our website and socials?
*
Yes
No
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