Open Mic Night Sign Up

Please tell us who you are so we can learn how to better serve you. If you give us your contact information, we will safeguard it jealously and not give it to anyone else without your express permission. Then we will use it to notify you of future events like this one. Anytime you wish us to stop sharing this information with you or change the way it arrives, we will be happy to do so.

General Information

First name:
Last name:
Male:
Female:
Telephone Number:
Email Address:

Performance Information

Desired Performance Date:
Musical Talent: Percussion Wind String Electronic Keyboard Other:
Vocal Talent: Singing Spoken Word Other:
Artistic Talent:
Time Slot:
(Performers will be moved up in order if time slots remain empty)