Be Discovered

Making the band

Complete all fields and check the last box for electronic Signature.

First Name

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Last Name

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Date of birth

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Address

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City

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Prov/State

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Postal/Zip Code

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Email Address

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Telephone Number (Including area code)

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Name of Band and/or Studio

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Program You are Applying For

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Name of Rep that Referred You

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Who or what inspires you to perform (200 words or less)

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Video Link URL

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Upload your photo:

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Applicant Signature (If under 18, parent/guardian sign)

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