Performing Artist Form & Backline PERFORM @ COSMICWeather you have performed already or plan to, Please read up on our terms and submit your Performing Artist Form so we have all of your current information. BACKLINE TERMS & RELEASE OF LIABILITY Artist Form Your Name (personal) * First Name Last Name Email * Phone (###) ### #### Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Band/Group Name Bands Email If you have one Website http:// Number of Members Names and Roles of Members Genre Do you have a Stage Plot? is you do, please email it to cosmicartstudioss@gmail.com yes no Merchandise Details (if planning to sell) Special Requests or Needs Emergency Contact Information Have you performed at Cosmic Before? yes no Have you reviewed the backline? yes no ACCEPT PERFORMER TERMS & RELEASE OF LIABILITY yes no Thank you!