First Name *
Last Name *
• Email *
• Phone *
• Name of the performer/group *
• Please provide a brief introduction of your artistic group and performance. *
• Please indicate length of your performance in 15-minute increments and your preferred time slot (cannot be guaranteed) *
• If you have special needs or prefer to use your own equipment, please indicate and describe
• I agree to follow any guidelines provided by Elevate Northland, and I hereby release and hold harmless Elevate Northland from any and all liability for injuries, damages, or losses that may occur as a result of my participation in the Northland Unity Fest *
  Yes No

Submit