Name *

First Name

Last Name

Phone *

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Your Address/ Rehearsal space Address *

Address 1

Address 2

City

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By checking each box you are agreeing to the statement. *

At least 1 members of our band lives in Chicago and/or we rehearse in Chicago.

We will use the house gear.

We will not use backing tracks during our performance

We are available to perform on 10/29/23 at Live Wire Lounge

Everyone in our band is 21+

We are a heavy band