HIP-HOP CHA
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Artist Submission Form
Name
*
First
Last
Email
*
STREET ADDRESS
*
CITY
*
STATE
*
ZIP CODE
*
Phone Number
*
I am: (You may check more than one):
*
Hip-Hop/R&B Performer
Producer
DJ
Promoter
Manager
Host/MC
Videographer
Photographer
Marketing/Branding
Dancer
Fashion/Merchandise
Spoken Word/Poetry
WEBSITE
*
Soundcloud Account
*
Instagram Handle
*
Twitter Username
*
Facebook Artist Page
*
BANDCAMP
*
SPINRILLA
*
Other links you would like to include or other things you'd like added to your profile
*
PROFILE PIC
*
Max file size: 20MB
Use of picture(s)/film/likeness:
*
I agree to allow Hip-Hop CHA, its agents, officers, principals, and volunteers to take picture(s), film and/or likeness of me for advertising purposes. In the event I choose not to allow the use of the same for said purpose, I agree that I must inform Hip-Hop CHA of this in writing.
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