EmailMe Form - QCA CYPHER FORM

Name *

First Last

Email *

Phone *

### - ### - ####

Stage name *

Select which cypher *

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Female

Image

Instagram *

Cypher Participation Agreement
By signing up for and participating in the Queen City Awards Cypher, all artists acknowledge and agree that their performance will be filmed, photographed, and recorded. Participants grant full permission to The Konnected TV and Queen City Awards to use their name, image, likeness, voice, and performance, in whole or in part, in any media format (including television, streaming, print, and social media) for promotional, marketing, archival, and commercial purposes without restriction, compensation, or further approval. Participation confirms understanding and acceptance of these terms. *

I agree