Show Registration Form Please view information about our registration fees here. The deadline for submissions is 5pm, 30th March 2017. Title of Event/Show*Event Category*ArtCabaretChildren's EventsCircusComedyCraftDanceEventsFamilyFilmLiteratureMusicOperaPhotographyStreet SpectacleTheatreWorkshopsOtherPlease specify*Company or Artist Name*Name(s) of Artist(s)/Performer(s)Description*Please describe your event in under 150 words as you would like to appear in our festival programmeAddress Street Address Address Line 2 City County / State / Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Do you wish to be programmed into a Galway Fringe Festival venue?*NoYesOwn Venue*Please give details of this venueEvent start date* Event end date* Start Time* HH : MM End Time* HH : MM PhoneEmail Website TwitterFacebookVideoMain Contact Name*Main Contact Phone*Main Contact Email* Company Description*Short description of company/organization How many people are involved in the show/event?NamesPlease list the names of the people involved in the show eg. Actors, authors, directors, musicians, performers, artists, etcNewspaper DescriptionDescribe your event for a newspaper (under 15 words)Content Warning DetailsPlease let us know if there is anything we need to be aware of including nudity, strong language, strobe lighting, etc.Country of originIs this a new show?*NoYesWhere else has it been on?*Ticket PriceTarget AudienceProduction requirements*Please outline your production requirements, (stage dimensions, height etc.) Do you have a set; please describe your set, props, etc. Minimum storage stage required? Will you bring any equipment with you? Do you need to hire any equipment from our suppliers? –Backline –Projector –Lights –Sound –A.V. Do you need a lighting technician to operate lights for your show? Yes/No Do you need a sound operator for your show? Yes/No How much technical rehearsal time will your show need? Any additional information that you think is relevantTell us why you want to perform at the Galway Fringe Festival*Please upload a high resolution image for our website programmeImages shouldn’t contain textAccepted file types: jpg, gif, png, bmp.CommentsThis field is for validation purposes and should be left unchanged.