MLK Open Mic Reg

Open Mic Sign-up Form

Provide information below so that we can contact you.

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1. First and Last Name:

First and Last Name:

2. Stage Name (if applicable)

Stage Name (if applicable)

*
3. Cell Phone Number:

Cell Phone Number:

*
4. Email Address:

Email Address:

5. What is the best way to contact you?

What is the best way to contact you? Cell Phone

Both

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6. What is the title of your performance?

What is the title of your performance?

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7. About what time would you like to perform? (Choose all that applies)

About what time would you like to perform? (Choose all that applies) 7:00pm to 7:30pm

7:30pm to 8:00pm

8:00pm to 8:30pm

8:30pm to 9:00pm

I am open. Put me in any time.

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8. What would you like to perform during the MLK Open Mic Night

What would you like to perform during the MLK Open Mic Night Sing a song

Recite poetry/spoken word

Play an instrument

Dance

Other (please specify)

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9. What Audio/Visual Equipment will you need for your piece? (check all that applies)

What Audio/Visual Equipment will you need for your piece? (check all that applies) Microphone

Laptop

Digital Projector

Ipod/MP3 input

CD Player

Other (please specify)

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10. How long is your performance? (Please note that performances should be about 3-5 minutes. If you are too long, we will interrupt you.)

How long is your performance? (Please note that performances should be about 3-5 minutes. If you are too long, we will interrupt you.) 1 minute

2 minutes

3 minutes

4 minutes

5 minutes

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MLK Open Mic Reg

Open Mic Sign-up Form

*1. First and Last Name:

2. Stage Name (if applicable)

*3. Cell Phone Number:

*4. Email Address:

5. What is the best way to contact you?

*6. What is the title of your performance?

*7. About what time would you like to perform? (Choose all that applies)

*8. What would you like to perform during the MLK Open Mic Night

*9. What Audio/Visual Equipment will you need for your piece? (check all that applies)

*10. How long is your performance? (Please note that performances should be about 3-5 minutes. If you are too long, we will interrupt you.)