EmailMe Form - Hope Island Christmas Busking Application Form

Name *

First Last

Email *

Phone *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Age: *

Applicants must be 16+ years or accompanied by an adult.

Number of people i.e. Single / Group: *

Please list your preferred Busking dates/availability:

What is your talent? *

Will you be playing an instrument? *

Yes

No

Please note, must be accoustic as no power will be available.

If yes, what instrument/s will it be?

Is a Video or Youtube link included with this application? *

Yes

No

Please note that applications will only be accepted with evidence of talent either as a movie file or YouTube link.

Upload a audio/movie file here:

Include a YouTube link here:

Do you have a photo/s of yourself/your group that you would like to include in this application to be used for promotional purposes? *

Yes

No

Please note by attaching photos here, you give Hope Island Shopping Centre permission to use for advertising purposes for this promotion.

Upload photos here:

Please provide any additional information that may support your entry:

Eg: Facebook or Instgaram handle.

I/We have read and accept the Terms and Conditions. *

Yes

No