Make a difference. Change your world.

Ohio Rock for Relief

PO Box 304
Washingtonville, OH 44490
www.myspace.com/ohiorockforrelief
ohiorockforrelief@hotmail.com

Your Name: _______________________________ Your affiliation with this band/artist (check):

___ Member of Band ___ Label Rep/Agent
Your Phone Number: ____________________ ___ Friend/no affiliation

Your E-mail Address: _________________________

BAND/ARTIST INFO
What kind of group are you?
Name of Band/Artist _______________________________ ___ Solo Artist ___ Solo Artist w/ band
___ Band ___ Vocal Group
Website: _________________________________ ___ Other: ___________________________

Style/Genre of Music: _________________________ ___________________________ _________________________

List up to 3

Length of set preferred: ___ 25 mins ___ 50 mins ___ No preference/any available

Members of group: ______________________________________________________________________________________

______________________________________________________________________________________________________

Instruments: ___ Drums ___ Acoustic Guitar ___ Electric Guitar ___ Bass Guitar ___ Keys

___ Other: __________________________ ___ Other: __________________________

How many vocalists are in your group? _____

Would you like a table in our vendors area to sell your merchandise? ___ Yes ___ No

Please check to make sure the following materials are included with this form:
___ Biography of band/artist
___ Picture (either black & white or color)
___ CD (cassettes will not be accepted) with at least 2 audio tracks, preferably 3-5

Please read the following very carefully and sign below to affirm your understanding and agreement.

By signing this form, I hereby state that I am a representative, either of the artist/band itself or of a group in management of the artist/band, and am authorized
to submit this application. I understand that by submitting this application, I am granting the Ohio Rock for Relief permission to use the enclosed promotional
materials (CD, picture, bio, etc) to promote both the artist/band and the Ohio Rock for Relief event. I also understand that each band/artist that submits an ap-
plication packet has an equal chance of being chosen to be a part of the event. I release and indemnify the Ohio Rock for Relief from any liability or damages
caused by any circumstance or situation that may arise and understand that as a representative I accept this responsibility. By signing this form, I acknowledge
that the Ohio Rock for Relief reserves the right to change details pertaining to the event, the artist roster, the vendors list, the sponsors list, etc. at any time. Fi-
nally, I agree to adhere to the code of conduct/artist agreement in relation to the event itself and I understand that any violation of the agreement can result in
removal of the represented band/artist from the artist roster and/or event grounds.

____________________________________________ ___________________________________________
SIGN NAME PRINT NAME

__________________
DATE