SHOWCASE
REGISTRATION FORM
SEND TO: BAMA HIP HOP
2216 CHRISTINE AVENUE ANNISTON, AL. 36207
A SEPERATE REGISTRATION MUST BE SUBMITTED FOR EACH ACT

STAGE NAME OF PERFORMING ACT:______________________________________________

SOLO___       GROUP (HOW MANY)______  TYPE OF MUSIC:_________________________

CONTACT PERSON OR MANAGER:___________________________________________

ADDRESS:_________________________________________________________________

CITY____________________________________ STATE:_______________ ZIP_________

BUSINESS PHONE:_________________ EMAIL:__________________________________

COMPANY:___________________________________________________________

WEBSITE OR EPK* ADDRESS________________________________________________
*EPK=Electronic Press Kit

SELECT SHOWCASE DATE:   ( ) JULY 20TH       ( ) JULY 27TH      ( ) AUGUST 3RD

THIS REGISTRATION MUST BE RECEIVED IN THE MAIL BEFORE YOUR DATE

REGISTRATION FEES: (MONEY ORDER MADE TO ALI SHABAZZ/BAMA HIP HOP)
SEPERATE REGISTRATION FOR EACH PERFORMING ACT REQUIRED

I AM PAYING USING    MONEY ORDER_____

SOLO: $20.00

GROUP:  $40.00

RELEASE: I HEREBY GIVE PERMISSION FOR PERFORMER'S LIKENESS AND PERFORMANCE TO BE RECORDED, FILMED, BROADCASTED AND /OR PHOTOGRAPHED AND USED IN ANY MANNER IN CONNECTION WITH PROMOTING FUTURE STARS MUSIC CONFERENCE, OPEN MIC CHECK, STUDIO 231 AND THE BAMA HIP HOP NETWORK. 

X__________________________________________________________  DATE:______________

Admission to Studio 231 is age 18 and older with proper ID.
General admission to Studio 231 and After-Party  is  not included in registration.