EXPRESSION OF INTEREST FOR THE 2019 BLUES MUSIC FESTIVAL

Band/Performer Name *

Contact Name *

Contact Phone *

Contact Email *

Number of Performers *

Short Biography

Staging Requirements

Website

Facebook

YouTube

Any other comments

Please upload a high res image

By completing this form I agree to give Blues Music Festival management permission to use my image and band promotion to use for promotion of the event on all forms of media should I be accepted into the program. *