Center Stage Registration v2

Use to submit your request to perform at the Tillie's Lounge Center Stage on the 2nd and 4th Thursday of the Month. Be sure to select the correct date.

First Name

Last Name

Birthday

Phone

Email Opt-In (required)

I agree to receive correspondence from Tillie's Lounge related to this performance as well as minimal communications related to events and opportunities at Tillie's Lounge. Unchecking this box disqualifies you from participating in Center Stage.

Stage Name

Instagram Handle

TikTok Handle

Facebook Name

Performance Date Key

Performance Category

Music Selection 1

mp3 File Format Only

Music Selection 2

mp3 File Format Only

Promo Photo

.jpg File Format Only

Terms & Conditions Agreement (required)

I have reviewed and agree to the Rules and Conditions found at www.tillieslounge.com/centerstage.