Mile High Blues Society - IBC ONLINE REGISTRATION FORM

Name of Act

Contact Telephone Number

Address:

Website:

Are you registering as a "BAND" or "SOLO / DUO" or "YOUTH SHOWCASE" Act?

Band
Solo / Duo
YOUTH SHOWCASE (all members must be under 21 on January 28, 2025)

Member names and instrumentation of ALL performers in your act:

Biography of your act (600 CHARACTERS, including spaces, or less)

MHBS Membership Renewed Date:

Individual or Band Name on MHBS Membership

Questions / Comments / Potential Conflicts

The undersigned spokesperson, via written name, hereby acknowledges that each member of the Act is knowledgeable of and agrees to abide by the terms herein stated and the rules of the challenge as set forth by the Mile High Blues Society.

Spokespersons Name