Artist/Band Name

Band Point-of-Contact Person

Email Address

Phone Number

Band Location

Do you have a history in central IL? Explain.

Please provide links to your music (i.e. videos of performances, releases, IG, FB, etc.).

What dates are you interested in playing (if applicable)?

Anything else you'd like us to know?

Consent Agreement Consent Agreement I have read and agree to the above Loose Cobra booking terms.