Stage Name* Full Real Name* Email* Mobile number* Address* What city & country should you be listed from*
Are you 18 old or older?* YesNo
Write if you have won any titles in a festival
Website of Facebook page* Instagram*
Which category you are applying for* ContestNo contest
How do you want the MC to introduce you? (keep it short please)* Name Act* Enter the link / URL of the video of your performance* Duration of your act (MAX 5mn)* Name of the song*
Starting on or off stage?* OnOff
Tech infos – lighting requirements & important details- * Costume colours* Props set up on stage* Do you use any glitter, confetti, liquid or anything else that need to be cleaned up after your routine*
Attach photo (SI PREGA DI RIDIMENSIONARE LE FOTO – LIMIT 2MB)*
Attach PayPal Receipt*

This agreement releases Taormina Burlesque Festival, A.C. Accademia delle Essenze Artistiche, Roberta Pennisi and sala Harpago il Gatto blu, from all liability relating to injuries that may occur {during activity and on location, on stage, off stage, back stage}. By signing this agreement, I agree to hold Taormina Burlesque Festival, A.C. Accademia delle Essenze Artistiche, Roberta Pennisi and sala Harpago il Gatto Blu entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. I also acknowledge the risks involved in circus, burlesque, dancing, and all live show performances. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.By signing below I forfeit all right to bring a suit against Taormina Burlesque Festival, A.C. Accademia delle Essenze Artistiche, Roberta Pennisi and sala Harpago il Gatto blu. In return, I will also make every effort to obey safety precautions as explained to me verbally or by email. With this application I authorize the organization to use my image for advertising purposes in respect of good taste. I will ask for clarification when needed.
*** I fully understand and agree to the above terms ***(say yes)* YESNO

Signature: Please state your FULL NAME + STAGE NAME in Capital letters:*