Lubeznik Center 2015 Open Mic Registration Question Title * 1. PLEASE NOTE THAT REGISTRATION IS NOW FULL. PLEASE FEEL FREE TO COMPLETE THIS REGISTRATION FORM IF YOU WOULD LIKE TO BE PLACED ON A WAITING LIST. BE SURE TO INCLUDE CONTACT INFORMATION. Question Title * 2. Name Question Title * 3. Email Address Question Title * 4. Phone Number Question Title * 5. Type of Act Music Poetry Storytelling Comedy Dramatic Other (please specify) Question Title * 6. Number of Performers 1 2 3 4 Other (please specify) Question Title * 7. Any Special Equipment Requirements *** Please note that we anticipate allowing 10 minute time slots per performance, however, this is subject to change *** Done