Take Me Back NAME * First Name Last Name ACT NAME EMAIL * PHONE (###) ### #### GENRE WHERE IS YOUR ACT BASED? HOW MANY PERFORMERS? (3 MAX PLEASE) CAN YOU PERFORM 20 MINUTES OF MATERIAL? * DOES YOUR ACT HAVE DRUMS? PLEASE NOTE.. THIS IS PRIMARILY A SLOT FOR SOLO/DUO ARTISTS. BUT WE ARE OPEN TO ALL THE POSSIBILITIES! * MUSIC/SOCIAL LINK 1 MUSIC/SOCIAL LINK 2 MUSIC/SOCIAL LINK 3 WHAT DO YOU REQUIRE ON STAGE? (EQUIPMENT WISE) DATES AVAILABLE * 10/9 10/23 11/6 11/20 12/4 12/18 MESSAGE Thank you! We’ll be in touch!