Host Survey

Cracked Walnut

* Indicates required field

Name *

First

Last

Stage Name (if applicable) *

Phone Number *

Email *

Are you a person of color? *

Yes No

We ask because we want more hosts that are people of color.

Current City/State *

Please tell us about your hosting experience *

Please include dates and how many days/years the show ran with you as the host.

What items do you own and can bring to a show? (Check all that apply) *

Microphones Mic Stand Music Stand Bar Stool PA System Reliable vehicle Other (fill in below)

Other Items (if applicable) *

What is your age? *

17-20 (Some shows are 21+ only) 21-27 27-36 37-50 Over 50

Must be at least 17 to host an an all ages show. You must be over 21 to host any other show

What is the best time to contact you? *

Weekdays - Noon to 4 PM Weekdays - 4 PM to 9 PM Weekends - Noon to 4 PM Weekends - 4 PM to 9 PM

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