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2. This form is provided for musicians that are inquiring about performing in events and activities that take place in the City of Middletown. This form is only meant to serve as a resource and does not confirm a booking. You will receive a standard email of receipt with resources on how to get connected to events and activities in the City of Middletown. 

4. Your Name*
5. Email Address*
7. City*
8. State*
9. Zip Code
11. Phone Number*
12. Genre of Music*
14. Musician/Band Name*
16. Link to Musician/Band Website or Social Media Page*
17. Additional Musician/Band Website
19. Number of Musician/Band Members*
20. Do you provide your own sound system? *

    1. Yes
    2. No
22. Please list most recent performances. *
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field