Entertainer, Artist, Poet, & Speaker Application 2024

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Additional information

• Name of Artist/Entertainer/Performer/Act/Band/Art Project/Speaker/etc.
• Primary Contact Name (If different from the above)
• Primary Contact Pronouns
• Do you have other individuals in your band, art project, act, etc.? Please list their names and pronouns.
• Please provide a brief description of your act.
• I am/We are... (select any that apply)
• What is your connection to the LGBTQ+ community?
• Please include your mailing address
• Phone
• Email
• Please include a short bio (150 words or less)
• Website Link
• Facebook Link
• Instagram Link
• Online EPK link
• YouTube Channel or Video Link
• Soundcloud Link
• Other Link
• I am interested in the following:
• I am/We are a
• If you selected "Other Performer" in the previous question, please let us know what type of act you are below