LeadUS Mentoring Program 2015-16

Requirements of the PDF
The following fields need to be filled in to enable you to submit this form:

- Personal Information - Full Name, Address, Contact Information

- Social Media Channels - Need a Facebook and a Twitter account

- Act Information - Description of Act, Performance Options, Pricing

- A Minimum of 5 Images - otherwise we cannot promote you

- '5 Reasons To Book' - Bullet point style selling your act

- Required Yes/No fields / Tick Boxes - Legal Reasons

Personal Information
Full Name*

First NameLast Name
Act Name*

First NameLast Name
Landline Number

Area Code Phone Number
Mobile Number*

Area Code Phone Number
Main Email*
Secondary Email
Website*
If you don't have a website, please include your professional Facebook link
Skype ID
Current Address*

Street Address

Street Address Line 2

CityCounty / Province

Postal / Zip CodeCountry
Facebook Profile
Twitter Profile
Instagram Profile
TikTok Profile

Promotional Website Material
5 Key Reasons To Book Your Act

This is your chance to tell us the unique points about your act that. They must be short & sharp. E.g. Worked with Cirque du Soleil. These fields are mandatory.
Reason 1*
Reason 2 *
Reason 3*
Reason 4*
Reason 5*
Reason 6*
Please Upload 5 Unbranded & High-Quality Images. These will be used to promote your act. Landscape format is preferred and we do not accept any low-quality images.
Image 1*

Upload a File

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Image 2*

Upload a File

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Image 3*

Upload a File

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Image 4*

Upload a File

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Image 5*

Upload a File

Cancelof
Dropbox or Google Drive Link
YouTube Link
You must provide a YouTube Link
Video Footage Upload

Upload a File

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Do you own the rights to all of the media: images and videos you've provided to us? We may also edit the images you submit. Do you consent to this?*

YesNo
Do you own the rights to all of the media: images and videos you've provided to us? We may also edit the images you submit. Do you consent to this?*

Yes, I do have the correct permissions and these can be used on your website
We may email and/or call you to request to use images and videos we have seen on your website and/or social media channels.

Submission
Important Information
You need to Inform us legally of a Business 'split', which is done through informing the media team (media@juliacharles.co.uk) and accounts team (sales@juliacharles.co.uk) If you split but still want to be promoted on our website, we will require you to fill in a new Act Registration Form. Do you agree to this?*

Yes, I agree and understand
Is There Any Other Information You'd Like To Provide Us With?
Did you have any problem while filling out this form? If so, please report it below
Any errors you have experienced when using the form. Using this information we can update this form to stop the error(s) happening in the future.
Please note that we may edit, recreate or change your images, videos & name at our discretion. This is to stop clients from going direct. Julia Charles Event Management works with artists on a contracted, self-employed basis. If you're accepted there will be further terms & conditions which will be sent to you once you've been successfully added to the roster or upon your first confirmed event. We reserve the right to decline your registration form without notice if you haven't correctly filled out the form and adhered to our terms. We don't charge for promoting you as a service so it's important you give us much information as possible and to the best of your abilities.*

Yes, I agree and understand
Yes, I agree / Understand
Thank you for taking the time to submit your services or act to Julia Charles Event Management for consideration. We look forward to the possibilities of building a working relationship with you. Please note we may edit, change and recreate your images, videos or even act name at our discretion. This is to limit the number of clients contacting acts directly. Julia Charles Event Management work with suppliers and artists on a contracted, self-employed basis. You are responsible for your own Tax & NI contributions. If you are accepted you will be subject to our terms and conditions which will be sent to you upon your 1st confirmed event with us, or you can read our terms below. We do not charge for promoting you as a service so it is important you give us much information as possible and to the best of your abilities. By clicking accept below you are agreeing to any and all points stated above and confirming you have rights to use and distribute any media relating to this service/act.*

Yes, I agree and understand
Full Terms & Conditions
I confirm that I agree / understand the above statement
You can read our Privacy Policy below, within this policy we outline the following of what information we hold and share including: - Who we share your information with - What information we store - Where we store your information - Why we store your information You can withdraw your content from our website and database at any point, you can do this by e-mailing media@juliacharles.co.uk*

I agree and have read the Privacy Policy
Full Privacy Policy
I have read the Privacy Policy
I would like to be added to your Artist & Suppliers Marketing List
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