Live Performance Submission Form - 2018

Note regarding online submission

You must be able to supply a link to a video of your piece in order to be eligible to apply on-line.  If you need to mail in a DVD of your performance, please download and mail in the application with your DVD.

Contact Info
About the Work
if applicable
10 min. maximum

I hereby release Wellspring/Cori Terry & Dancers as well as any and all municipal, government, or personnel whose properties or services are used and any or all sponsor(s), company(s), agency(s), or individual(s) from responsibility for any injuries or damages that I, my company or my students suffer as a result of participation in Wellspring’s Midwest Regional Alternative Dance Festival. I will additionally permit my name and picture to be used in any broadcasts, telecasts, marketing materials, or any media for promotional purposes. I also understand that the entry fee is non-refundable. I submit that the choreography/improvisation is original and created by the choreographer/improvisor whose name is submitted and that all information on this form is true and complete. I have read the entry information provided and certify by my initials my compliance.

Initialing here indicates that you have read, understand, and agree to the release information provided above.
Travel Stipend
in miles

Some choreographers/improvisers may receive a stipend to help off-set the cost of travel at a rate of $50-$300 (rate to be determined by distance traveled and available funds). Choreographers/improvisers will be notified whether they will receive a stipend in their RAD Fest acceptance letter. Stipends will be given out after the festival. Please allow four weeks for stipends to be dispersed.

Please only click the submit button once to prevent multiple submissions.  Upon submission of the form, you will be forwarded to Square to complete payment for your registration fee.