Name *

First Name

Last Name

Phone

(###)

###

####

Do you create / produce your own music? *

Yes

No

Have you performed at Electric Love in previous years? *

Yes

No

If yes, which year(s) did you perform?

2015

2016

2017

2018

2022

2024

Are you applying as a *

Deejay

Emcee / Vocalist

Band

Are you also applying to volunteer at the festival? *

Yes

No

Are you able to camp on-site? *

Yes

No

Are you willing to perform during the day? *

Yes

No

I have read and understand Electric Love Code of Conduct & Safer Spaces Policy. * *

Yes, and I agree to the Code of Conduct & Safer Spaces Policy.