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2. Juneteenth Amateur Night Sign-Up Form

   Celebrate Freedom. Showcase Your Talent.

   Please complete the form below to register as a performer for the Juneteenth Amateur Night. Open to all ages and performance types!

6. Performer Information
8. First Name*
9. Last Name*
11. Phone Number *
12. Email Address *
16. Talent Details
18. What is your talent? *

    (e.g., singing, dancing, spoken word, instrumental, comedy, etc.)

20. Will you be performing to music?*
    -- Select One --YesNo
22. Do you have any audio needs?

    (e.g., microphone, music playback, audio jack, etc.)
    
    All audio files must be submitted in advance via email prior to the event.

24. Do you have any specific set-up needs?

    (e.g., number of mics, stool, instrument plug-in, etc.)

26. How long is your performance?

    (in minutes)

30. Additional Info

    Comments or special requests

34. Terms & Conditions Acknowledgment

    Please read and acknowledge the following before submitting:

36. 1.  I agree to participate in the Juneteenth Amateur Night hosted by the City of Homestead. I understand that my performance must be family-friendly and appropriate for all audiences. I also grant permission for the City to photograph or record my performance for promotional purposes.
    2. I understand that submitting this form does not guarantee a performance slot. Selected participants will be contacted with further details.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field