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Open Mic Registration Form

  • Open Mic Registration Form
Full Name
Your Full Name
Field is required!
Field is required!
Mobile Number
Your Phone number
Field is required!
Field is required!
Age
Under 18's Must be accompanied by a parent
Age
Field is required!
Field is required!
Performance Format
  • - select a option -
  • Solo
  • Duo
  • Trio
- select a option -
Field is required!
Field is required!
Number of Songs you would like to perform (time permitting)
  • - select a option -
  • 1
  • 2
  • 3
  • 4
  • 5+
- select a option -
Field is required!
Field is required!
Email Address
Your E-mail Address
Field is required!
Field is required!
Performance Detail
Include Music Genre - Stage Plot (e.g. Duo with 2 x Mic & 2 x Guitar)
Field is required!
Field is required!
Submit