PERFORMER INFORMATION & TECH SHEET

HAFLA OF SHIMMIES
 

NAME *
NAME
(Legal names for use to match up with registrations only. Stage names will be used in any marketing or by emcee)
(NOTE: Your bio will be included in the program)
EMERGENCY INFORMATION (This information will be kept confidential)
NOTE: Only the Conference Organizer and Stage Manager will have access to the information. If you are a group/troupe, please send the separate emergency contact link to each of your performers to fill out and submit.
Emergency Phone Number
Emergency Phone Number
I understand and agree to the following (select all) *
Photo and Video Waiver (select all that apply)
Photo and video will be taken of the performance by Shimmy Con. Videos will not be used for publicity unless video is reviewed and permission granted by the performer(s) for use.