First Name *

(Primary Contact) *

Last Name *

(Primary Contact) *

Phone *

(Primary Contact) *

Email *

(Primary Contact) *

Band/Artist Name: *

Website *

"N/A" if you don't have a website.

Are you a:

What days are you available to perform?

Estimated setup and teardown time

Do you require a deposit?

Typical performance rate

Are you comfortable being tagged and featured on The Bell Tree Tavern’s social media and website? *