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Primal Infusion



Last Updated: 7/28/2009

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Gender: Female
Status: Single
Age: 35
Sign: Pisces

City: BAKERSFIELD
State: California
Country: US
Signup Date: 9/8/2008
Wednesday, September 10, 2008 

PERFORMERS REGISTRATION FORM AND CONTRACT..:                        Please print clearly, thank you!

MUSIC SOURCE:  (Please check)  * CD ____             ** Live  ____

*  CD: Remember to have your entire set on one (1) CD and bring a back up.

** If you are using live music, please provide the following information:

      Instrumentation:  _____________________________________________________________________

      of Microphones:  _____  of Chairs:  _____  of Direct inputs:  _____ 

      Other needs:  ________________________________________________________________________


Please describe your performance: (style, description, concept, etc):______________________________________

____________________________________________________________________________________________

Length of requested performance time:  _____________

Would you like you music to start when you are on stage or off? _________________________________________

Legal name: ____________________________     Group or Solo Stage name:  ______________________________________

Address:  ..:-________________________  City:  ______________________   State:  _____  Zip:  ________

Telephone :  day:  _________________  evening:  _________________  E-mail address:  ____________________________

Director or contact name:  __________________________________________________

**Please provide a 50 word or less bio/introduction for your performance to be read by our emcee!! Send this with the contract if possible.

ALL DANCERS AND MUSICIANS:  PLEASE READ AND SIGN

** Note:  performers under the age of 18 must have a parent/ legal guardian sign next to the name of the minor performer.

I agree to release Heather Calderwood and Tribal Underground, the Nile Bar and Grill, the County of Kern, the City of Bakersfield and its employees from any liability or responsibility due to personal or business loss from any terrorist act, act of war, natural disaster, act of God, theft, injury or death while participating in activities and performances at or related to Exotica at the Nile.

1.        _____________________________________________________________________

2.        _____________________________________________________________________

3.        _____________________________________________________________________

4.        _____________________________________________________________________

5.        _____________________________________________________________________

6.        _____________________________________________________________________

7.        _____________________________________________________________________

If needed, please use back of form for more signatures.

(TO BE COMPLETED BY FESTIVAL STAFF)

YOUR PERFORMANCE TIME IS:  ___________ TO ____________