Name *

First Name

Last Name

Phone *

(###)

###

####

Performance Line Up

Please select one of the fallowing

We have a fully planned event, we just need a stage

We would like to headline an event, but have no opener

We would like to be added as an opener to a lineup

We would like to be the only performance for the event

Preferred Performance Date

MM

DD

YYYY

Compensation *

Artist takes 100% of door/ ticket Sales

We require a guarantee/ Have a set rate

Will you able to attend sound check on the day of the event?

Sound-check and load-in happen during the afternoon on the day of the show, we ask that you please prioritize being available for this time.

Yes

No

70% chance we can attend

30% chance we can attend

Unsure