Name *

First Name

Last Name

Service of Engagement (Choose All That Apply) *

Keynote Concert (Keynote + Performance)

Keynote Only

Performance Only

Panelist

Contest Judge

Event Host

Custom Song

Vocal Production

Music Production

Songwriting/Ghost Writing

Date of Event *

MM

DD

YYYY

Travel Needed (Outside NY Tri-state Area) *

Yes

No

Virtual or In-Person *

Virtual (Zoom, Microsoft Teams, Skype, Sessionwire, etc.)

In-Person

Sound System Provided? *

Yes

No

Is there a flyer provided for event? *

Yes

No

Can Kelsie Janel create a flyer for the event? (for website, social media) *

Yes

No