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Push Songs Tuesday Night Song Club

The Push staff will observe strict confidentiality with the information that you provide in your application process.

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* 1. By applying to take part in the Push Songs Tuesday Night Song Club session on Oct 27 between 6 and 8pm at The Push Pop Up Shop (234 High St Northcote), you agree that you will be able to competently perform your one song in an acoustic setting.

Yes

No

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* 2. Please provide us with your:

Name:

Contact number:

Email address:

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* 3. Please provide us with:

Your Performance or Band name:

A link so we can listen to your music:

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* 4. What is your age group?

under 18

18-25

26-30

31-40

41-50

50+

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* 5. Why do you want to participate in Push Songs Tuesday Night Song Club?

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* 6. If successful will you be requiring a piano keyboard to play your song?