World Jam Membership form
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indicates required
Name:
Email:
Comment:
Registration Date
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Full Name
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Email Address
*
Phone Number (optional)
Facebook Name (optional)
Preferred Contact Method
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Please provide at least one of the above. Preferred contact method- phone number- email address- Facebook ID
Which Languages do you perform in?
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(Please list above)
Do you have any additional needs for performing?
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No
Yes
If yes, please specify
Would you like your photo/bio on our website?
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Yes
No
Where did you hear about World Jam?
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Facebook
Instagram
World Jam Website
Friends
Youtube
Poster/Flyer
Somewhere Else
If somewhere else, please specify
Which skills would you like to bring to World Jam?
Music Performance
Leading Creative Writing Workshops
Assisting in Creative Writing Workshops
Leading Music Workshops
Assisting in Music Workshops
Organising Events
Editing Poetry
Editing Videos
Assisting the Organisers During Live Events
Promotion and Publicity
Poetry Translation/ Interpretation
Poster Design
Photography
Technical Support
Poetry Performance
Something Else
What would you like to achieve with World Jam?
Improving Stage Skills
Improving Confidence
Attending Workshops
Meeting New People
Improving Performance Skills
Being with Like-Minded People
Meeting Other Artists
Being Able to Perform
Something Else
