2018 Inside the Industry with Liz Rose Application

Age Eligibility *

I am the applicant and I am over the age of 13.

Applicant is under the age of 13 and I understand that in this instance, I will provide only the name of the applicant. All contact information is that of the parent/guardian of the applicant.

**Applicants who are accepted to attend Inside the Industry with Liz Rose, agree that they understand the following: attendees ages under 18 years of age MUST have a parent accompany them at the event. Parent registration price is a reduced price designed to cover actual expenses for the parent during the event. Contact NSAI for specific parent pricing and/or to make payment.

Attendee First Name *

Attendee Last Name *

Parent/Guardian Name (If applicable)

Email Address *

Phone *

Street Address *

Apt/Suite #

City *

State/Province *

Zip/ Postal Code *

Country *

T-Shirt Size *

Are you a current NSAI member? *

Yes

No

Have you attended any the following NSAI Events in the past? (check all that apply)

SONG CAMP

ADVANCED SONG CAMP

SPRING TRAINING

How did you hear about this event? (check all that apply) *

Other

What are your goals as a songwriter? *

I want to have a publishing deal.

I song write as a hobby.

I want to be an artist/songwriter.

Other

How many songs have you written? *

Describe yourself as a songwriter. *

What would you consider to be your greatest strengths as a songwriter? *

In what ways do you feel like you could improve? *

Is there anything else you would like us to know as we consider your application?

Song Consent Form

NSAI thanks you for applying . Due to legal considerations, we require you to agree with a consent form any time NSAI hears your song (whether it be through the Song Evaluation Service, Pitch-to-Publisher Night, Critique Night, One-on-One Mentoring or any of NSAI’s special events and services). Your submission of songs (whether lyric or instrumental only or music and lyrics) to NSAI constitutes your agreement to release, indemnify and hold harmless NSAI and its employees, board of directors, officers, attorneys, agents and representatives from and against any claim, including, without limitation, of copyright infringement or other misappropriation, arising from any acts or omissions in connection with your submission.

Song Consent Form *

Song 1 Title *

Song 1 Lyrics (paste lyrice here) *

Song 1 Co-writers

Overall, what percentage did you contribute to this song? *

Song 2 Title *

Song 2 Lyrics (paste lyrice here) *

Song 2 Co-writers

Overall, what percentage did you contribute to this song? *

Song 3 Title *

Song 3 Lyrics (paste lyrice here) *

Overall, what percentage did you contribute to this song? *

Payment *

2018 Inside the Industry with Liz Rose Application

Ella Hart