Southern Fried Circus Fest Application
Solo, Duo or Group Act *
Stage Name (if applicable)
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First Name *
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Last Name *
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First Name (Partner or Group Name, if applicable)
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Last Name Name (Partner, if applicable)
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Birth Date
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Birth Date (Partner, if applicable)
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Discipline *
If Other, Specify:
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Experience Level *
Email *
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Phone: *
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Address:
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Link to Submission Video:
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What are you hoping to gain from this experience?
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What are your current strengths/weaknesses as a performer?
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Is there anything you want the panel to know about your piece?
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