Entertainers Consideration Submission

Submit the form below to be considered as entertainment for this year’s youth conference! Upon receipt and review of your information we will contact you shortly.

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Group or Individual Name *
Name *
Address: *
Work Phone: *
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Mobile Phone: *
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E-mail Address: *
Website or Blog link *
Include you Professional Bio: *
Upload Photo: *
Upload a Sample of music or performance: *
Title of Performance *
A/V requirements *
Will you have a promotional product to contribute to the participants’ goody bags or for a door prize? *
If Yes, please list below.

Keepin It Real! - Youth Empowerment Summit
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