Black History Month Youth Performer Registration

Thank you for your interest in performing at our Black History Month Celebration!
This event highlights the creativity, talent, and voices of Black youth in our community.

Please complete this form to register as a performer. A member of our team will follow up with event details, tech needs, and rehearsal times.

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Full Name
What is your age?
What are your pronouns? (Example: she/her, he/him, they/them, etc.)
What is your email address?
What is your phone number?
Parent/Guardian Name (Required for youth under 18)
Parent/Guardian Email
What type of performance are you registering for?
Clear selection
Other type of performance
Performance Title (if any)
Will you require any equipment?
Do you need rehearsal time before the performance day?
Clear selection
Do you consent to having photos or video taken of your performance?
Clear selection
Parent/Guardian consent (for youth under 18)
Submit
Clear form
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