Registration Form – Dragons Tail Events

First Name*

Last Name*

Stage Name (put the same as your real name if that is what you wish to be introduced as)*

Phone Number*

Instagram Handle

E-mail*

STYLE - what style would you describe this routine in a few words? EG. old school stripper style, contemporary flow, slinky floorwork, etc.*

MUSIC upload - all pieces must be a minimum of 3:30 and a maximum of 7 minutes. Choose mp3 or spotify below:*

mp3 (upload file)

spotify (paste url)

mp3 file upload* No file chosen

spotify url*

PROPS - will you be using any props in your routine - and if you are expecting us to provide, please specifiy:

Communication preferences: please select the methods you are happy for us to use for communicating with you.*

whatsapp message

whatsapp group chat

instagram DM

instagram group chat

Emergency Contact Name*

Contact Phone Number*

Please describe any adjustments you require to meet your individual needs

I agree that the payment due will be £50 for each performance, to be received no more than 24 hours after the end of the show.*

I agree

The performers acknowledge and accept that Dragons Tail Events Limited and its owners and staff (the Organisers) their directors, instructors, employees, agents, or landlords, (“Related Parties”) and Dragons Tail Events hosting venue and its owners and staff (Venue) their directors, instructors, employees, agents, landlords, leases or franchisees (“Venue Related Parties”) are not responsible for injury or damage resulting from participation in the event, including the performers’ arrival and departure from the event. *

I agree

The performers acknowledge that pole dance is a dangerous activity and as such the performers voluntarily accept the risks associated in participating in the event. *

I agree

Performers must ensure they have warmed up and stretched properly prior to performing. *

I agree

Performers must not consume alcohol or any prohibited substance prior to performing. *

I agree

The performers waive to the fullest extent permitted by law all legal rights of action against and fully releases the Venue and Venue Related Parties and the Organisers and Related Parties for the loss, damages, or injury howsoever arising out of or in relation to the participation by the competitors in the activities conducted or organised by the Organisers and Related Parties including without limitation, liability for any negligent or tortious act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the Organisers or Related Parties. *

I agree

I am over the age of 18 and I understand that the nature of the event includes adult themes, dances and performances.*

I agree

I consent to Dragons Tail Events taking photo and video of me during the event to use for marketing purposes.*

I consent

Please give any additional notes or comments if you have any:

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