Pitch Your Passion Performer Form

Name *

Preferred Last

What are your pronouns?

Email *

Phone *

Preferred Method of Contact

Date of Birth *

Do you identify as a person with disability?

Do you identify as any of the following?

Do you have a stage name?

What are you planning on performing at our Pitch Your Passion Gala? (please describe your act in as much detail as possible) *

How long have you been performing? This can be anywhere between “I’ve never performed before” to “I’ve been on stages my entire life”. *

Do you have any videos of you performing? (provide link below or email katarinareed@gmail.com with the video file attached).

Do you have social media account/s for your performance work?

Do you have any access requirements as a performer? *

What assistance do you require?

Do you have any access requirements as an audience member? *

What assistance do you require?

Any questions for us?