Please, enter a valid name Name - Required Please, enter a valid email Email - Required Please, enter a valid phone number Phone Number - Required Please, enter a valid stage name/band name Stage Name/Band Name - Required Please, enter a valid if applying as a band, how many members? If applying as a band, how many members? - Required Please, enter a valid type of instruments played during a typical performance Type of instruments played during a typical performance - Required Please, enter a valid where are you located? Where are you located? - Required Please, enter a valid type of music played Type of Music Played - Required

Type of Music Played Original Covers Mostly Covers Mostly Originals

Please, enter a valid describe your music Describe Your Music - Required Bio Tell us about yourself and your music - Optional Please, enter a valid are you able to provide promotional materials? Are you able to provide promotional materials? - Required

Are you able to provide promotional materials? Yes No

Please, enter a valid please describe how we can hear a sample of your music Please describe how we can hear a sample of your music - Required Additional Website - Optional Please, enter a valid do you have 3+ hours of music? Do you have 3+ hours of music? - Required

Do you have 3+ hours of music? Yes No

Please, enter a valid please describe your stage setup; what do you provide? what do you require? Please describe your stage setup; what do you provide? What do you require? - Required Please, enter a valid what is your required fee for a three (3) hour performance? What is your required fee for a Three (3) Hour Performance? - Required Please, enter a valid can you provide a required completed w-9 tax form to manny's parkside upon booking? Can you provide a required completed W-9 Tax Form to Manny's Parkside upon booking? - Required

Can you provide a required completed W-9 Tax Form to Manny's Parkside upon booking? Yes No

Please, enter a valid i am submitting this application as a: I am submitting this application as a: - Required

I am submitting this application as a: Performer Booking Agent Other

Please, enter a valid how did you learn about manny's parkside? How did you learn about Manny's Parkside? - Required Any questions for us? - Optional Please upload anything you would like to share: - Optional