Name *

First Name

Last Name

Phone Number *

(###)

###

####

Event Coordinator Name *

First Name

Last Name

Event Coordinator Phone Number *

(###)

###

####

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Band Size *

Personnel / instrumentalists are subject to change and will be selected by the musician. Special requests for musicians (either by name or by instrument) is not guaranteed.

Solo

Acoustic Duo

Trio

Full Band

Do the performers need to bring their own sound system? *

Yes

No

Unsure