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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Please list preferred instrument(s) in order of preference

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* 5. Do you have access to a rehearsal space that could be used by your band on April 13 2019?  If so, please provide address and a list of equipment that can be provided (PA, number of microphones, backline).

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* 6. Do you have access to a vehicle and if so are you able to transport other participants and/or equipment from rehearsal space to showcase performance?

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* 7. I have read and agree to all terms and conditions as listed on the event page and website girlsrockvictoria.ca

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