Contact Information
First name:

Your given name or common name

Required
Last name:

Your family name or surname

Required
Preferred name:

How would you like to be addressed?

Optional
Email:

A valid email address so we can contact you

Required
Phone:

Your preferred phone number

Required
Entry Information
Group name:

If you want to use a group name then provide it here

Optional
Group members:
Single entrant use column 1
Entrant 1 Entrant 2 Entrant 3 Entrant 4 Entrant 5
Your real name:
Alias:
Performance category:
Please select all types of performances that apply
Singing Dancing Portable Instruments Required
Performance duration (mins:secs):
How long do you intend to stay on stage in minutes:seconds?
minutes seconds Required
Song title:
If more than one song put the first here and others in additional info
Required
Song artist:
If more than one song put the first here and others in additional info
Required
Song origin:
Series/show/game - If more than one song put the first here and others in additional info
Required
Choice of Portable Instrument:
Instrumentalists Only
Optional
Style of Dance:
Dance Groups Only
Optional




Additional Information:
If you have any other additional information, please also provide below (such as your preferred song if entering with more than 1 song).
Optional
Audio Files
Once you have successfully submitted this form you will be given the option to upload a music file. Files should be MP3s no larger than 15MB.
Signature of Entrant
By checking this box, you agree to abide by all Animethon policies polices and have read, understood and agree to abide by the Take the Stage Guidelines and Rules.

Signature:

Please type your name

Required
Date: 2017-07-22

Please email takethestage[at]animethon[dot]org if you have any questions.
Required We require this information in order to proceed.
Recommended While we do not require this information it would definitely assist us which could in turn help you.
Optional We do not require this information but we may find it helpful.