Royal Stage

Name of Performer *

First Name

Last Name

Name of Parent/Guardian if Performer is Under 18

First Name

Last Name

Performer DOB *

MM

DD

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dates You Would Like to Perform *

You may select more than one date to perform, but cannot perform the same piece on multiple dates. We will reach out to see what your pieces will be for future dates if multiple are selected

Sept 29

Oct 27

Jan 26

Feb 23

April 5

May 31