All New Things - Listen Registration Form

All New Things - Listen // Saturday, July 25th, 2026

This form must be completed by Friday, June 12th to confirm your spot. The registration fee covers one day Movement Experience, ANT Curated Creative Box, an exclusive ANT Listen T-Shirt and all photos from the event.
Artist's Information
Artist's Name*

First NameLast Name
Pronouns*
She/Her, He/Him, They/Them
Birth Date*

MonthDayYear
Cell Number*
Format: (000) 000-0000.
E-Mail*
example@example.com
T-Shirt Size*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
Format: (000) 000-0000.
E-Mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does the artist have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Release Waiver

Please read this form carefully. By signing below, I hereby acknowledge and agree to the following:

The undersigned, as participant, parent, or legal guardian of the participant, am aware that in registering for and participating in the above program, there are inherent risks involved in such participation, including but not limited to physical injury. I hereby waive and release any and all claims that may arise out of participant’s involvement in the program, including but not limited to any injuries that participant may sustain. I further recognize and acknowledge that and by signing below, I agree to assume the full risk of any injuries, including death, and hereby waive any claim for damages or loss arising from participant’s involvement in any and all activities associated with such program, including any risks inherent in out-of-state and/or air travel. I do further agree to indemnify and hold harmless Pink Eyebrows, LLC. Company, or any of its employees or agents, from any and all claims and/or liability arising out of, connected with, or in any way associated with the program and/or my participation in the program.

MEDIA RELEASE FORM : The undersigned does hereby authorize Pink Eyebrows, LLC. to take, or to have taken, still photographs and/ or videos of participant and consents and authorizes Pink Eyebrows, LLC. to use and reproduce the photographs and/or videos.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

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