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1. Full Name (Required.)

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2. Stage Name (optional)

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3. Email (Required.)

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4. Phone (Optional)

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5. How many pieces will you read? (Required.)

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6. How long will your set be (must be under 5 minutes) (Required.)

Line-up is via sign up order!

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7. Title of Poem(s) (Required.)

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8. Please List Content Warning(s) (put N/A if none) (Required.)

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9. What day/times work best for you? (Required.)

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