Open Mic RSVP and Performance Request Form

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Open Mic RSVP and Performance Request Form

Join us for an LGBTQ+ Open Mic Night at The Diversity Center. Please RSVP by filling out this form. You can also use this form to sign up to perform at the open mic. LGBTQ+ community and allies are welcome to attend. Lite bites and refreshments will be provided.

At The Diversity Center, hosted by Tara

Date: Saturday, April 26

Time: 6:30 pm - 8:00 pm

Ages: Adults 18+

If you have questions about this well-being offering please contact Tara Maxon, Well-Being Coordinator, at: tara.maxon@diversitycenter.org.

Email *

What is your name?

What are your pronouns?

What is your age?

What is your e-mail?

Do you want to perform at the Open Mic?

Yes

Maybe

If so, what type of performance would you like to do?

I am not planning on performing

music, singing

spoken word

dance

drag

reading or reciting a poem

Other:

If you want to perform, how long is your performance?

I am not planning on performing

3 min

5 min

Other:

Do you need any accommodations to attend and participate in this event?

Yes

Other:

Clear selection

Is there anything else you would like us to know?

Send me a copy of my responses.

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