Registration
Everything is possible except plugged music (accoustic is possible). We provide a small stage and a microphone. The event takes place at Langstrasse 200 from 19:30 to 23:00. We do not accept Perfomances with discriminating content and commercial goals.

We accept answers in French , English and German.


For Question or for a quick chat contact -> 078 914 07 93 Mario Dias

your name ?
Your answer
As whom or what would like to be presented on the stage ?
Your answer
What would you like to do ? *
Your answer
if you need a bit more space for the question above:
Your answer
Your e-mail? *
Your answer
Phone Number? *
Your answer
Additional Questions ? Comments?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of euforia. Report Abuse - Terms of Service