Legal Name(Required)Stage Name(Required)Name of GuestStreet Address(Required)City, State, Zip Code(Required)Home Phone(Required)Mobile PhoneEmail Address Website Name of Hometown NewspaperWaiver and Agreement(Required) I agree to the below Waiver and Agreement. *(Required)I have read the enclosed information, and understand and agree to participate in the contest and it's corresponding events. I agree that the festival reserves the right to use my likeness & voice in any way, without remuneration paid to me for my performance(s) or appearance(s). I agree to accept no bookings within 50 miles of the event without advanced consent of Visit Lexington, NC for a period of fourteen days before or after the event. I agree to hold Visit Lexington, NC and any sponsors or affiliated parties harmless for any and all injury that may occur to me or my property during my participation in the event, even if the result of such injury is a result of negligence. Upon signing of the Registration Form, I agree to obey the rules as posted on the event’s website, and I also agree to complete an additional waiver/participation form when I arrive for the contest and understand and accept that I am contractually to be ready, willing and available to perform as agreed and including a free performance during the dates of April 28-May 1, 2022, in the Uptown district.Signature(Required)Date(Required) MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
